MEDICARE: WHOLE WOMAN FITNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP1600X	Pastoral Counselor
2	225700000X	Massage Therapist
3	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1174479612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE WOMAN FITNESS LLC

Provider Business Mailing Address
First Line	:	1716 EMERSON ST
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-3438
Country	:	US
Telephone Number	:	773-416-0899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 WASHINGTON ST
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-1557
Country	:	US
Telephone Number	:	773-242-7558
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NETICIA WALDRON
Credential	:	CPT, BSHA, MINISTER
Telephone Number	:	773-416-0899

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

Similar Medicare Providers

1487586350 — JESSICA HOUGH
Practice Location Address:

2223 WASHINGTON ST
EVANSTON, IL
60202-1557

Practice Phone: 847-701-5527
Practice Fax:

1508257684 — DR. DANIEL K. PHILLIP PSY.D.
Practice Location Address:

2223 WASHINGTON ST UNIT 102
EVANSTON, IL
60202-1557

Practice Phone: 312-324-4419
Practice Fax:

1306576814 — CRESCENT AND CROWN THERAPY LLC
Practice Location Address:

2223 WASHINGTON ST UNIT 102
EVANSTON, IL
60202-1557

Practice Phone: 708-943-7514
Practice Fax:

1548110562 — SAVANNAH FLOWERS
Practice Location Address:

2223 WASHINGTON ST
EVANSTON, IL
60202-1557

Practice Phone: 847-701-5527
Practice Fax:

1457292377 — SOKANA COLLECTIVE WORLDWIDE
Practice Location Address:

2223 WASHINGTON ST UNIT 108
EVANSTON, IL
60202-1557

Practice Phone: 847-701-5527
Practice Fax:

1124959390 — THE AUX WELLNESS COLLECTIVE LLC
Practice Location Address:

2223 WASHINGTON ST
EVANSTON, IL
60202-1557

Practice Phone: 224-651-4264
Practice Fax:

Directions to “WHOLE WOMAN FITNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.