Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOTED ROSE HEALTH & WELLNESS COLLECTIVE PLLC
NPI 1588576557
Nurse Practitioner - Family in Chicago, IL

Q: What is Rooted Rose Health & Wellness Collective PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 22, 2026

11716 S LOOMIS ST, CHICAGO, IL 60643(773) 310-0110 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Rooted Rose Health & Wellness Collective Pllc NPPES

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

ROOTED ROSE HEALTH & WELLNESS COLLECTIVE PLLC (NPI 1588576557) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since September 2026. The organization lists Jovan Butler, Manager, as its authorized official.

NPPES Registry Identity

NPI1588576557

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameROOTED ROSE HEALTH & WELLNESS COLLECTIVE PLLC

Location Address11716 S LOOMIS STChicago, IL 60643-5037

Mailing Address1440 W Taylor St Ste 734Chicago, IL 60607-4623

Phone(773) 310-0110

Organization SubpartNo

Authorized OfficialJovan ButlerManager · (773) 310-0110

Enumeration DateSeptember 22, 2026

NPPES CertifiedSeptember 22, 2026

✔ NPI 1588576557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

11716 S LOOMIS ST, Chicago, IL 60643

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Rooted Rose Health & Wellness Collective PLLC's NPI number?

The NPI number for Rooted Rose Health & Wellness Collective PLLC is 1588576557. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Rooted Rose Health & Wellness Collective PLLC located?

Rooted Rose Health & Wellness Collective PLLC is located at 11716 S Loomis St, Chicago, IL 60643. The listed phone number is (773) 310-0110.

What is Rooted Rose Health & Wellness Collective PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rooted Rose Health & Wellness Collective PLLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.