Magnolia Wellness Center | |
36936 N Corona Dr Lake Villa IL 60046-5800 | |
(773) 294-7885 | |
Not Available |
Full Name | Magnolia Wellness Center |
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Speciality | Psychologist - Clinical |
Location | 36936 N Corona Dr, Lake Villa, Illinois |
Authorized Official Name and Position | Alexandra Colon (OWNER) |
Authorized Official Contact | 7732947885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Wellness Center 2724 W Chicago Ave Apt 2f Chicago IL 60622-5169 Ph: (773) 294-7885 | Magnolia Wellness Center 36936 N Corona Dr Lake Villa IL 60046-5800 Ph: (773) 294-7885 |
NPI Number | 1740986421 |
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Provider Enumeration Date | 02/03/2023 |
Last Update Date | 02/03/2023 |
Certification Date | 02/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740986421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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