Wellness Chicago Complementary Medical Centers

NPI 1508157348 - Clinic/Center - 261Q00000X

NPI Details
NPI 1508157348
Enumeration Date 04/27/2011
Last Updated 04/27/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NANCY DIANNE NANCY
Position MEDICAL DIRECTOR
Phone (312) 467-0678
Fax
Practice Location
1101 LAKE ST
SUITE 350
OAK PARK IL, 60301-1085, US
Phone (312) 467-0678
Fax
Business Location
820 N ORLEANS ST
SUITE 345
CHICAGO IL, 60610-3132, US
Phone (312) 467-0678
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Illinois
License Number 038-005791
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According to our database, Wellness Chicago Complementary Medical Centers NPI is 1508157348, taxonomy code is 261Q00000X and license number is 038-005791, license state is located at Illinois. Wellness Chicago Complementary Medical Centers physically located at 1101 Lake St, Oak Park IL, 60301-1085. NPI Number 1033115704 has the healthcare provider type.

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1508157348 NPI number is provided on an as is basis without warranty of any kind. 1508157348 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Chicago Complementary Medical Centers are for informational purposes only.