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WELL-ROOTED FUNCTIONAL MEDICINE
NPI 1205421237
Clinic/Center - Medical Specialty in Woodstock, IL

Active since March 02, 2021
110 S JOHNSON ST STE 207, WOODSTOCK, IL 60098(815) 355-1605 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Well-rooted Functional Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELL-ROOTED FUNCTIONAL MEDICINE (NPI 1205421237) is a healthcare organization registered as a medical specialty in Woodstock, Illinois and active in the NPI registry since March 2021. The organization lists Jessica Pawlicki, Owner, as its authorized official.

NPPES Registry Identity

NPI1205421237
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWELL-ROOTED FUNCTIONAL MEDICINE
Location Address110 S JOHNSON ST STE 207Woodstock, IL 60098-3259
Mailing Address110 S Johnson St Ste 207Woodstock, IL 60098-3259 · (815) 355-1605
Phone(815) 355-1605
Organization SubpartNo
Authorized OfficialJessica PawlickiOwner · (815) 529-1201
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1205421237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
110 S JOHNSON ST STE 207, Woodstock, IL 60098
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMADEA I BRAYDEN LIC.AC.
Acupuncturist
110 S JOHNSON ST STE 207
WOODSTOCK, IL 60098
McHenry County (312) 523-4675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Well-Rooted Functional Medicine's NPI number?

The NPI number for Well-Rooted Functional Medicine is 1205421237. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is Well-Rooted Functional Medicine located?

Well-Rooted Functional Medicine is located at 110 S Johnson St Ste 207, Woodstock, IL 60098. The listed phone number is (815) 355-1605.

What is Well-Rooted Functional Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Well-Rooted Functional Medicine was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.