| Wellness Path Therapy Center | |
|
1133 E 83rd St Unit 172 Chicago IL 60619-6400 | |
| (312) 305-1007 | |
| (773) 207-5335 |
| Full Name | Wellness Path Therapy Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1133 E 83rd St Unit 172, Chicago, Illinois |
| Authorized Official Name and Position | Ajibola Obajimi (LEAD THERAPIST) |
| Authorized Official Contact | 3123051007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Path Therapy Center 1133 E 83rd St Unit 172 Chicago IL 60619-6400 Ph: (312) 305-1007 | Wellness Path Therapy Center 1133 E 83rd St Unit 172 Chicago IL 60619-6400 Ph: (312) 305-1007 |
| NPI Number | 1720688591 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720688591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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