Wellbound Of Evanston Llc

NPI 1528140712 - Clinic/Center - 261QE0700X

NPI Details
NPI 1528140712
Enumeration Date 10/19/2006
Last Updated 05/15/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSAN L SUSAN
Position SECRETARY/CFO
Phone (847) 965-1901
Fax (847) 965-1952
Practice Location
8950 GROSS POINT RD
SKOKIE IL, 60077-1860, US
Phone (847) 965-1901
Fax (847) 965-1952
Business Location
300 SANTANA ROW
SUITE 300
SAN JOSE CA, 95128-2423, US
Phone (650) 404-3657
Fax (650) 625-6007
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Wellbound Of Evanston Llc NPI is 1528140712, taxonomy code is 261QE0700X Wellbound Of Evanston Llc physically located at 8950 Gross Point Rd, Skokie IL, 60077-1860. NPI Number 1033115704 has the healthcare provider type.

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1528140712 NPI number is provided on an as is basis without warranty of any kind. 1528140712 is maintained by the National Plan & Provider Enumeration System. The contents of Wellbound Of Evanston Llc are for informational purposes only.