Basic Information
| Provider Information | |||||||||
| NPI: | 1285300160 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BETTER HEALTH LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 409 E BENTON PL | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606017288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023086892 | ||||||||
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| Practice Location | |||||||||
| Address1: | 615 NORTHGATE LN | ||||||||
| Address2: | |||||||||
| City: | SHOREWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604049551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7084760936 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2021 | ||||||||
| LastUpdateDate: | 08/19/2021 | ||||||||
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| AuthorizedOfficialLastName: | VIJ | ||||||||
| AuthorizedOfficialFirstName: | NIKHIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7084760936 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
| NPICertificationDate: | 08/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 207QG0300X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine |
No ID Information.