NORTHWEST ADULT WELLNESS CENTER LLC (NPI# 1922594613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922594613 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ADULT WELLNESS CENTER LLC |
| Practice Address |
235 W 95th Suite 3 Chicago IL 60628 |
| Mailing Address |
5352 N Lincoln Ave Chicago IL 60625-2316 |
| Practice Telephone | 7734682110 |
| Mailing Telephone | 7733535047 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | MOHAMMAD KHAMIS (PRESIDENT) |
| Authorized Official Telephone | 7734682110 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
235 W 95TH SUITE 3 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| 1043525496 | Eve Packer | Registered Nurse | 33 E, 114th Street, Chicago, IL 60628 | 2010-08-10 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598218604 | 3ys Service, Inc | Clinic/Center | 914 E 54th St, Chicago, IL 60615-5018 | 2016-07-26 |
| 1023434891 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 4834 N Sheridan Rd, Chicago, IL 60640-3704 | 2014-03-17 |
| 1487079182 | Chicago Commons Association | Clinic/Center | 4349 W Washington Blvd, Chicago, IL 60624-2211 | 2014-03-04 |
| 1962743666 | White Crane Wellness Center | Clinic/Center | 1657 W Foster Ave, Chicago, IL 60640-2013 | 2013-03-06 |
| 1407105208 | Center for Seniors | Clinic/Center | 5320 N. Kedzie Ave, Chicago, IL 60625-4712 | 2012-09-07 |
| 1598026676 | Chicago Commons Association | Clinic/Center | 515 E 50th St, 200, Chicago, IL 60615-2401 | 2012-06-05 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1679712889 | Genuine Care Adult Service Center | Clinic/Center | 7313 N Western Ave, Chicago, IL 60645-1813 | 2009-02-11 |
| 1407023849 | South Lake Medical Services, Ltd | Clinic/Center | 2621 E 75th St, Chicago, IL 60649-3705 | 2008-05-14 |
| 1497812812 | Miracles of Life Day Services Inc. | Clinic/Center | 5914 W North Ave, Chicago, IL 60639-4013 | 2007-01-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.