| Crockett Wellness Clinic Llc | |
|
2829 Stonewater Dr Naperville IL 60564 | |
| (630) 454-1143 | |
| Not Available |
| Full Name | Crockett Wellness Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2829 Stonewater Dr, Naperville, Illinois |
| Authorized Official Name and Position | Andre D Crockett (MANAGING DIRECTOR) |
| Authorized Official Contact | 3318886505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crockett Wellness Clinic Llc 3075 Book Rd Unit 9155 Naperville IL 60567-1422 Ph: (630) 454-1143 | Crockett Wellness Clinic Llc 2829 Stonewater Dr Naperville IL 60564 Ph: (630) 454-1143 |
| NPI Number | 1487300935 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487300935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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