| Community Wellness Group Llc | |
|
635 Argyle Ave Flossmoor IL 60422-1201 | |
| (773) 844-8813 | |
| Not Available |
| Full Name | Community Wellness Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 635 Argyle Ave, Flossmoor, Illinois |
| Authorized Official Name and Position | Shirlyn Maria Garrett-wilson (VICE PRESIDENT OF CLINICAL SERVICES) |
| Authorized Official Contact | 7733209592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Wellness Group Llc 635 Argyle Ave Flossmoor IL 60422-1201 Ph: (773) 844-8813 | Community Wellness Group Llc 635 Argyle Ave Flossmoor IL 60422-1201 Ph: (773) 844-8813 |
| NPI Number | 1144820648 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Medicare PECOS PAC ID | 4981003340 |
|---|---|
| Medicare Enrollment ID | O20210604001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144820648 | NPI | - | NPPES |
| 19002 | Medicaid | IL |
| Provider Name | Evanee Neville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083124960 PECOS PAC ID: 2062811425 Enrollment ID: I20210604001896 |
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