Provider Type Icon

WELLNESS INSTITUTE OF ILLINOIS LTD. NPI 1649651951


NPI Information

NPI: 1649651951
Provider Name: WELLNESS INSTITUTE OF ILLINOIS, LTD.
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
741 S MCHENRY AVE STE G
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 477-8844
Get Directions

WELLNESS INSTITUTE OF ILLINOIS, LTD. is a pain clinic center in Crystal Lake, IL. WELLNESS INSTITUTE OF ILLINOIS, LTD. NPI is 1649651951. The provider is registered as an organization entity type.

The provider's business location address is:

741 S MCHENRY AVE STE G
CRYSTAL LAKE, IL
ZIP 60014-445
Phone: (815) 477-8844
Fax: (815) 308-3387

The provider's authorized official is Lawrence Lavine .
The authorized official title is Medical Director and has the following contact phone number (815) 477-8844.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 9/1/2016.


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
1261QP3300XClinic/CenterPain036-049364ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.