| Modern Wellness Inc | |
|
2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 | |
| (773) 525-6955 | |
| (480) 287-8538 |
| Full Name | Modern Wellness Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2835 N Sheffield Ave Ste 500, Chicago, Illinois |
| Authorized Official Name and Position | Anthony Peter Oltean (OWNER OPERATOR) |
| Authorized Official Contact | 7736202023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness Inc 2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 Ph: (773) 525-6955 | Modern Wellness Inc 2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 Ph: (773) 525-6955 |
| NPI Number | 1144653395 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 2062654163 |
|---|---|
| Medicare Enrollment ID | O20130819000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144653395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anthony P. Oltean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689962151 PECOS PAC ID: 0446492540 Enrollment ID: I20130819000653 |
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