| Radiant Therapy And Wellness Llc | |
|
1011 Lake St Ste 210 Oak Park IL 60301-1137 | |
| (708) 663-1214 | |
| Not Available |
| Full Name | Radiant Therapy And Wellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1011 Lake St Ste 210, Oak Park, Illinois |
| Authorized Official Name and Position | Jennifer Ann Oh (CO OWNER) |
| Authorized Official Contact | 7086631214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Therapy And Wellness Llc 2124 Newcastle Ave Westchester IL 60154-4453 Ph: (708) 663-1214 | Radiant Therapy And Wellness Llc 1011 Lake St Ste 210 Oak Park IL 60301-1137 Ph: (708) 663-1214 |
| NPI Number | 1972313922 |
|---|---|
| Provider Enumeration Date | 01/11/2025 |
| Last Update Date | 01/11/2025 |
| Certification Date | 01/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972313922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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