| Triwellness, Pc | |
|
1945 W Wilson Ave Ste 6116 Chicago IL 60640-5259 | |
| (224) 518-1435 | |
| (872) 666-0038 |
| Full Name | Triwellness, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1945 W Wilson Ave Ste 6116, Chicago, Illinois |
| Authorized Official Name and Position | Aarti S. Felder (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2245184547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triwellness, Pc 1945 W Wilson Ave Ste 6114 Chicago IL 60640-5259 Ph: (224) 518-4547 | Triwellness, Pc 1945 W Wilson Ave Ste 6116 Chicago IL 60640-5259 Ph: (224) 518-1435 |
| NPI Number | 1871001289 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 01/04/2023 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 9436590163 |
|---|---|
| Medicare Enrollment ID | O20240513003391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871001289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Aarti S Felder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457716268 PECOS PAC ID: 3072954700 Enrollment ID: I20240513003479 |
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