| Magnolia Wellness Collaborative, Pllc | |
|
3057 N Rockwell St Ste 261 Chicago IL 60618-7917 | |
| (773) 236-2680 | |
| Not Available |
| Full Name | Magnolia Wellness Collaborative, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3057 N Rockwell St Ste 261, Chicago, Illinois |
| Authorized Official Name and Position | Julia M Wegmann (OWNER) |
| Authorized Official Contact | 3143022159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Wellness Collaborative, Pllc 3057 N Rockwell St Ste 261 Chicago IL 60618-7917 Ph: (773) 236-2680 | Magnolia Wellness Collaborative, Pllc 3057 N Rockwell St Ste 261 Chicago IL 60618-7917 Ph: (773) 236-2680 |
| NPI Number | 1861103327 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861103327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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