Healthcare Provider Details

I. General information

NPI: 1457235061
Provider Name (Legal Business Name): TWIN VILLAGE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 N LAKE SHORE DR STE 1103085
CHICAGO IL
60611-4546
US

IV. Provider business mailing address

8499 DUNGARVAN RD
FRANKFORT IL
60423-9358
US

V. Phone/Fax

Practice location:
  • Phone: 872-266-6390
  • Fax: 872-266-6391
Mailing address:
  • Phone: 708-298-2614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTANI JAMES
Title or Position: OWNER
Credential: MD
Phone: 708-298-2614