Provider Demographics
NPI:1578946190
Name:WHOLE HUMAN HEALTH INC
Entity Type:Organization
Organization Name:WHOLE HUMAN HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-487-1810
Mailing Address - Street 1:1921 W WILSON ST
Mailing Address - Street 2:STE A304
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-3194
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1921 W WILSON ST
Practice Address - Street 2:STE A304
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3194
Practice Address - Country:US
Practice Address - Phone:630-487-1801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012821261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center