| 911 Wellness Group, Llc. | |
|
765 Ela Rd Ste 300 Lake Zurich IL 60047-6306 | |
| (847) 550-4520 | |
| Not Available |
| Full Name | 911 Wellness Group, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 765 Ela Rd Ste 300, Lake Zurich, Illinois |
| Authorized Official Name and Position | April Villagran (OFFICE MANAGER) |
| Authorized Official Contact | 8475504520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 911 Wellness Group, Llc. 765 Ela Rd Ste 300 Lake Zurich IL 60047-6306 Ph: (847) 550-4520 | 911 Wellness Group, Llc. 765 Ela Rd Ste 300 Lake Zurich IL 60047-6306 Ph: (847) 550-4520 |
| NPI Number | 1871329938 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871329938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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