Provider Demographics
NPI:1013726140
Name:LORI WHNP, LLC
Entity type:Organization
Organization Name:LORI WHNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGRADY
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:630-853-9404
Mailing Address - Street 1:122 N WHEATON AVE UNIT 1072
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6492
Mailing Address - Country:US
Mailing Address - Phone:630-853-9404
Mailing Address - Fax:630-348-7421
Practice Address - Street 1:122 N WHEATON AVE UNIT 1072
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-6492
Practice Address - Country:US
Practice Address - Phone:630-853-9404
Practice Address - Fax:630-348-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1487959300OtherNPPES