WholeHealth Chicago 3 SC – Internal Medicine Physician, NPI 1487722666
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WholeHealth Chicago 3 SC
2565 N CLYBOURN AVE
CHICAGO, IL 606143052
Phone: (773) 296-6700
Fax: (773) 296-1131
Type: Mailing
North Lincoln Avenue, Belgravia Terrace, Lincoln Park, Chicago, Cook County, Illinois, 60610, United States
WHOLE HEALTH CHICAGO
CHICAGO, IL 606142352
Phone: (773) 296-6700
Fax: (773) 296-1131
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (83 days away).
Enrollment records
2
Earliest due date
2026-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080229000390 | O | Clinic/Group Practice | IL | 2026-08-31 |
| O20231025002848 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 60614)
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