WHOLE HEALTH MD LLC NPI 1366724577

NPI Information

  • NPI: 1366724577
  • Provider Name: WHOLE HEALTH MD LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D2238363
  • Address: 2266 N LINCOLN AVE
    SUITE 300
    CHICAGO, IL
    ZIP 60614
  • Phone: (847) 293-0901

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NPI Details

WHOLE HEALTH MD LLC is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WHOLE HEALTH MD LLC NPI is 1366724577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2266 N LINCOLN AVE
SUITE 300
CHICAGO, IL
ZIP 60614-600
Phone: (847) 293-0901

The provider's authorized official is Ann Delacruz .
The authorized official title is Manager and has the following contact phone number (847) 293-0901.

The CLIA number assigned to this NPI record is 14D2238363 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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