Heart Of Transformation Wellness Institute Sc | |
1618 Orrington Ave Suite 206 Evanston IL 60201-5016 | |
(847) 425-9355 | |
(847) 424-9765 |
Full Name | Heart Of Transformation Wellness Institute Sc |
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Speciality | Clinic/center |
Location | 1618 Orrington Ave, Evanston, Illinois |
Authorized Official Name and Position | Archana Lal-tabak (PRESIDENT) |
Authorized Official Contact | 8474259355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heart Of Transformation Wellness Institute Sc 1618 Orrington Ave Suite 206 Evanston IL 60201-5016 Ph: (847) 425-9355 | Heart Of Transformation Wellness Institute Sc 1618 Orrington Ave Suite 206 Evanston IL 60201-5016 Ph: (847) 425-9355 |
NPI Number | 1275926123 |
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Provider Enumeration Date | 03/16/2015 |
Last Update Date | 03/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275926123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 042.619453 (Illinois) | Primary |
261Q00000X | Clinic/center | 036.079471 (Illinois) | Secondary |
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