Organization Active NPI

Whole Wellness

  • Physical Therapist
  • Bannockburn, IL
National Provider Identifier
1992557490
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WHOLE WELLNESS
Practice address
2223 Lakeside Dr
Bannockburn, IL 60015-1265
Phone
(847) 920-4040
Fax
(847) 920-4012
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Veronica ShakhnisNPI 1306430335
Title
President
Phone
(847) 920-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaprapathGroup: 193200000X MULTI-SPECIALTY GROUP 172P00000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2223 Lakeside Dr
Bannockburn, IL 60015-1265

Mailing address

2223 Lakeside Dr
Bannockburn, IL 60015-1265
Phone (847) 920-4040

Other practice location 1

2223 Half Day Rd
Bannockburn, IL 60015-1291
Phone (847) 920-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827003269 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183163777 Receives reassigned benefits from 1 practitioner
Practice locations: Bannockburn, IL

National Provider Directory

National Provider Directory

Locations

2223 Lakeside Dr
Bannockburn, IL 60015
Phone (773) 983-3475

2223 Half Day Rd
Bannockburn, IL 60015
Phone (847) 920-4040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1992557490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-920-4040",
            "fax_number": "847-920-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-920-4040",
            "fax_number": "847-920-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 Half Day Rd",
            "address_purpose": "LOCATION",
            "city": "Bannockburn",
            "state": "IL",
            "postal_code": "600151291",
            "country_code": "US",
            "telephone_number": "847-920-4040",
            "fax_number": "847-920-4012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "SHAKHNIS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-920-4040"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.