| Center For Integrative And Functional Health And Wellness Llc | |
|
1 Tiffany Pt Ste 105 Bloomingdale IL 60108-2915 | |
| (630) 980-1400 | |
| (630) 980-1441 |
| Full Name | Center For Integrative And Functional Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Tiffany Pt Ste 105, Bloomingdale, Illinois |
| Authorized Official Name and Position | Jurate Gauba (PRACTICE MANAGER) |
| Authorized Official Contact | 6309801400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrative And Functional Health And Wellness Llc 1 Tiffany Pt Ste 105 Bloomingdale IL 60108-2915 Ph: (630) 980-1400 | Center For Integrative And Functional Health And Wellness Llc 1 Tiffany Pt Ste 105 Bloomingdale IL 60108-2915 Ph: (630) 980-1400 |
| NPI Number | 1649748674 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 0749513802 |
|---|---|
| Medicare Enrollment ID | O20190605002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649748674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Aimee D Harris Newon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609944263 PECOS PAC ID: 3274553151 Enrollment ID: I20051208000042 |
| Provider Name | Eliza Bernas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326075854 PECOS PAC ID: 7911195581 Enrollment ID: I20101223000168 |
| Provider Name | Noor Fatima Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487836821 PECOS PAC ID: 6103981592 Enrollment ID: I20140204001240 |
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