WHOLE BODY MEDICAL WELLNESS LTD – General Practice Physician, NPI 1336687771

WHOLE BODY MEDICAL WELLNESS LTD is a healthcare provider. based in Pontiac, Illinois. specializing in General Practice Physician. The NPI Number for WHOLE BODY MEDICAL WELLNESS LTD is 1336687771

Main info

Organization
Name
WHOLE BODY MEDICAL WELLNESS LTD
NPI
1336687771
Phone
(815) 844-4631
Address
402 N PLUM ST
Authorized Official
KIM KIDNER OWNER
Enumeration Date
6 February 2017
Last Update Date
6 February 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:9State licenses:0Digital endpointsOther names

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Provider Addresses for WHOLE BODY MEDICAL WELLNESS LTD

  • 402, North Plum Street, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617641817

    Phone: (815) 844-4631

    Fax: (815) 844-1942

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61764)

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Reviews

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Frequently asked questions

Can I cross-check WHOLE BODY MEDICAL WELLNESS LTD using NPI 1336687771?
NPI 1336687771 belongs to WHOLE BODY MEDICAL WELLNESS LTD; compare other details if you need extra assurance.
Active or inactive — what applies to WHOLE BODY MEDICAL WELLNESS LTD?
You should see WHOLE BODY MEDICAL WELLNESS LTD as active in CMS-hosted NPPES data.
What clinical focus is listed for WHOLE BODY MEDICAL WELLNESS LTD?
At a glance, WHOLE BODY MEDICAL WELLNESS LTD is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with WHOLE BODY MEDICAL WELLNESS LTD?
Directory geography for WHOLE BODY MEDICAL WELLNESS LTD centers on Pontiac, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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