| Prairie Wellness | |
|
12 W Wilson St Suite A Batavia IL 60510-2891 | |
| (630) 715-5740 | |
| Not Available |
| Full Name | Prairie Wellness |
|---|---|
| Speciality | Counselor |
| Location | 12 W Wilson St, Batavia, Illinois |
| Authorized Official Name and Position | Matthew Goles (PRESIDENT) |
| Authorized Official Contact | 6307155740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Wellness 12 W Wilson St Suite A Batavia IL 60510-2891 Ph: (630) 715-5740 | Prairie Wellness 12 W Wilson St Suite A Batavia IL 60510-2891 Ph: (630) 715-5740 |
| NPI Number | 1245661057 |
|---|---|
| Provider Enumeration Date | 12/04/2013 |
| Last Update Date | 12/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245661057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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