Wholistic Inc. | |
1734 E 71st St Chicago IL 60649-1913 | |
(773) 947-8117 | |
(773) 947-8599 |
Full Name | Wholistic Inc. |
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Speciality | Social Worker - Clinical |
Location | 1734 E 71st St, Chicago, Illinois |
Authorized Official Name and Position | Albert P. Knott (MEDICAL DIRECTOR) |
Authorized Official Contact | 7739478117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wholistic Inc. 4752 S Ellis Ave Chicago IL 60615-1818 Ph: (773) 624-7803 | Wholistic Inc. 1734 E 71st St Chicago IL 60649-1913 Ph: (773) 947-8117 |
NPI Number | 1427261551 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1427261551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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