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500 Ohara Dr Ste 120 Troy IL 62294-2316 | |
| (618) 667-7007 | |
| (618) 667-4260 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 500 Ohara Dr Ste 120, Troy, Illinois |
| Authorized Official Name and Position | Mohammad Amin Zaman (OWNER) |
| Authorized Official Contact | 6186677007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 Ohara Dr Ste 120 Troy IL 62294-2316 Ph: (618) 667-7007 | 500 Ohara Dr Ste 120 Troy IL 62294-2316 Ph: (618) 667-7007 |
| NPI Number | 1841349511 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841349511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036114379 (Illinois) | Primary |
Wellness Professionals Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 S Main St, Suite 2, Troy, IL 62294 Phone: 618-667-1900 Fax: 618-667-1919 | |