Welllife-a Subsidiary Of Innovative Sustainable Solutions

NPI 1003196973 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1003196973
Enumeration Date 08/24/2011
Last Updated 09/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANDRE ANDRE
Position CEO
Phone (773) 531-5163
Fax
Practice Location
15808 CLIFTON PARK AVE
MARKHAM IL, 60428-3921, US
Phone (773) 531-5163
Fax
Business Location
15808 CLIFTON PARK AVE
MARKHAM IL, 60428-3921, US
Phone (773) 531-5163
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Welllife-a Subsidiary Of Innovative Sustainable Solutions NPI is 1003196973, taxonomy code is 251S00000X Welllife-a Subsidiary Of Innovative Sustainable Solutions physically located at 15808 Clifton Park Ave, Markham IL, 60428-3921. NPI Number 1033115704 has the healthcare provider type.

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1003196973 NPI number is provided on an as is basis without warranty of any kind. 1003196973 is maintained by the National Plan & Provider Enumeration System. The contents of Welllife-a Subsidiary Of Innovative Sustainable Solutions are for informational purposes only.