Premier Wellness Care Inc.

NPI 1255695557 - Physician Assistant - 363A00000X

NPI Details
NPI 1255695557
Enumeration Date 07/02/2012
Last Updated 07/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JANET JANET
Position PROGRAM MANAGER
Phone (847) 425-9089
Fax (847) 886-4158
Practice Location
400 HIGGINS RD
PARK RIDGE IL, 60068-5751, US
Phone (847) 425-9089
Fax (847) 886-4158
Business Location
115 S LA SALLE ST
STE 2600
CHICAGO IL, 60603-3801, US
Phone (312) 898-5064
Fax (847) 886-4158
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Premier Wellness Care Inc. NPI is 1255695557, taxonomy code is 363A00000X Premier Wellness Care Inc. physically located at 400 Higgins Rd, Park Ridge IL, 60068-5751. NPI Number 1033115704 has the healthcare provider type.

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1255695557 NPI number is provided on an as is basis without warranty of any kind. 1255695557 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Wellness Care Inc. are for informational purposes only.