| Pure Abundant Wellness Center | |
|
20200 Governors Dr Suite 107 Olympia Fields IL 60461-1032 | |
| (708) 560-1235 | |
| Not Available |
| Full Name | Pure Abundant Wellness Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 20200 Governors Dr, Olympia Fields, Illinois |
| Authorized Official Name and Position | Lisa Wallace (CEO) |
| Authorized Official Contact | 7085601235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Abundant Wellness Center 20200 Governors Dr Suite 107 Olympia Fields IL 60461-1032 Ph: (708) 560-1235 | Pure Abundant Wellness Center 20200 Governors Dr Suite 107 Olympia Fields IL 60461-1032 Ph: (708) 560-1235 |
| NPI Number | 1932564481 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932564481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.008731 (Illinois) | Primary |
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