| Envogue Med & Wellness | |
|
1701 E Woodfield Rd Ste 215 Schaumburg IL 60173-5127 | |
| (847) 916-0673 | |
| (847) 787-9084 |
| Full Name | Envogue Med & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 E Woodfield Rd Ste 215, Schaumburg, Illinois |
| Authorized Official Name and Position | Sandra Madrid Valino Stock (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6306707279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envogue Med & Wellness 1701 E Woodfield Rd Ste 215 Schaumburg IL 60173-5127 Ph: (847) 916-0673 | Envogue Med & Wellness 1701 E Woodfield Rd Ste 215 Schaumburg IL 60173-5127 Ph: (847) 916-0673 |
| NPI Number | 1881319911 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 9032583315 |
|---|---|
| Medicare Enrollment ID | O20230328002695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881319911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sandra Madrid Valino Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922036441 PECOS PAC ID: 0840299129 Enrollment ID: I20061214000222 |
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