Healthcare Provider Details

I. General information

NPI: 1235093592
Provider Name (Legal Business Name): WELL WITH MY SOUL HOLISTIC HEALTH CENTER- NAPRAPATHIC TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 W ADDISON ST STE 303
CHICAGO IL
60634-4468
US

IV. Provider business mailing address

8149 S BLACKSTONE AVE
CHICAGO IL
60619-4616
US

V. Phone/Fax

Practice location:
  • Phone: 773-978-6145
  • Fax: 773-913-1792
Mailing address:
  • Phone: 773-978-6145
  • Fax: 773-913-1792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State

VIII. Authorized Official

Name: DR. SOONITI JEANETTE WEEMS
Title or Position: NAPRAPATH/ CLINICAL DIRECTOR
Credential: DN, LCSW, LMT
Phone: 773-978-6145