|Entity Type||Healthcare Provider|
|Active||Over 4 years ago|
|Name||VIRGINIA WYATT VIRGINIA|
|3600 W WRIGHTWOOD AVE
CHICAGO IL, 60647-1138, US
|2619 W ATTRILL ST
CHICAGO IL, 60647-4003, US
|Remove 1023350063 NPI Number|
According to our database, Wise Roots Wellness, Llc NPI is 1023350063, taxonomy code is 1041C0700X and license number is 149015015, license state is located at Illinois. Wise Roots Wellness, Llc physically located at 3600 W Wrightwood Ave, Chicago IL, 60647-1138. NPI Number 1033115704 has the healthcare provider type.
1023350063 NPI number is provided on an as is basis without warranty of any kind. 1023350063 is maintained by the National Plan & Provider Enumeration System. The contents of Wise Roots Wellness, Llc are for informational purposes only.