Midwest Wellness Center Associates Ltd. | |
519 N Cass Ave Suite 204 Westmont IL 60559-1514 | |
(630) 541-9560 | |
(630) 541-8381 |
Full Name | Midwest Wellness Center Associates Ltd. |
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Speciality | Psychiatry & Neurology |
Location | 519 N Cass Ave, Westmont, Illinois |
Authorized Official Name and Position | Shalini Chawla (OWNER) |
Authorized Official Contact | 6305419560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Wellness Center Associates Ltd. 3023 N Clark St Suite 239 Chicago IL 60657-5200 Ph: (630) 541-9560 | Midwest Wellness Center Associates Ltd. 519 N Cass Ave Suite 204 Westmont IL 60559-1514 Ph: (630) 541-9560 |
NPI Number | 1184920266 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 07/11/2022 |
Certification Date | 07/11/2022 |
Medicare PECOS PAC ID | 9234303280 |
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Medicare Enrollment ID | O20111201000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184920266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Shalini Chawla |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255534483 PECOS PAC ID: 6709978950 Enrollment ID: I20070817000589 |
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