| Wellness Clinic Ltd | |
|
3510 Hobson Rd Ste 302 Woodridge IL 60517-1442 | |
| (630) 886-5770 | |
| (866) 415-1201 |
| Full Name | Wellness Clinic Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3510 Hobson Rd Ste 302, Woodridge, Illinois |
| Authorized Official Name and Position | Barbara Benton (PRESIDENT) |
| Authorized Official Contact | 6308865770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Clinic Ltd 3510 Hobson Rd Ste 302 Woodridge IL 60517-1442 Ph: (630) 886-5770 | Wellness Clinic Ltd 3510 Hobson Rd Ste 302 Woodridge IL 60517-1442 Ph: (630) 886-5770 |
| NPI Number | 1316017635 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 5193627057 |
|---|---|
| Medicare Enrollment ID | O20040122000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316017635 | NPI | - | NPPES |
| 036095935 | Other | IL | ILLINOIS STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 042618102 (Illinois) | Primary |
| Provider Name | Barbara Benton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073612941 PECOS PAC ID: 9537061494 Enrollment ID: I20040127000193 |
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