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WALMART HEALTH
NPI 1336748367
General Practice in Chicago, IL

Active since October 21, 2020
1715 N. KILPATRICK AVE., CHICAGO, IL 60639(773) 687-6041(773) 276-7564 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 29, 2021, Oct 21, 2020 (2 updates tracked since 2020).

About Walmart Health NPPES

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

WALMART HEALTH (NPI 1336748367) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Chicago and lists Soujanya Pulluru, Owner, as its authorized official.

NPPES Registry Identity

NPI1336748367
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWH IL MEDICAL PLLC
Location Address1715 N. KILPATRICK AVE.Chicago, IL 60639
Mailing Address702 Sw 8th St # Ms 0445Bentonville, AR 72716-0445 · (479) 204-1258 · Fax (479) 277-4331
Phone(773) 687-6041
Fax(773) 276-7564
Organization SubpartNo
Authorized OfficialSoujanya PulluruOwner · (479) 277-2500
Enumeration DateOctober 21, 2020
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1336748367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1715 N. KILPATRICK AVE., Chicago, IL 60639
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Other Names 1

Doing Business AsWalmart Health

Secondary Practice Location 1

Location 18410 S. Holland Rd.Chicago, IL 60620 · Phone (773) 420-1272 · Fax (773) 783-8817

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WH IL OPTOMETRY PLLC
Optometrist
1715 N. KILPATRICK AVE.
CHICACO, IL 60639
Cook County (773) 687-6043

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 Wh Il Medical PLLC's NPI number?

The NPI number for Wh Il Medical PLLC is 1336748367. It was assigned to this organization in the NPPES registry on October 21, 2020. The provider is doing business as Walmart Health.

Where is Wh Il Medical PLLC located?

Wh Il Medical PLLC is located at 1715 N. Kilpatrick Ave., Chicago, IL 60639. The listed phone number is (773) 687-6041.

What is Wh Il Medical PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wh Il Medical PLLC was last updated on January 29, 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.