Integrative Wellness Clinic Ltd. | |
9631 Gross Point Rd Ste.107 Skokie IL 60076-1264 | |
(224) 534-7167 | |
Not Available |
Full Name | Integrative Wellness Clinic Ltd. |
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Speciality | Clinic/Center |
Location | 9631 Gross Point Rd, Skokie, Illinois |
Authorized Official Name and Position | Tatiyana M Urbin (OWNER) |
Authorized Official Contact | 2245347167 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrative Wellness Clinic Ltd. 9801 Gross Point Rd Ste.203 Skokie IL 60076-1173 Ph: (224) 534-7167 | Integrative Wellness Clinic Ltd. 9631 Gross Point Rd Ste.107 Skokie IL 60076-1264 Ph: (224) 534-7167 |
NPI Number | 1225332703 |
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Provider Enumeration Date | 12/27/2010 |
Last Update Date | 01/03/2014 |
Medicare PECOS PAC ID | 8325236979 |
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Medicare Enrollment ID | O20101222001046 |
Identifier | Type | State | Issuer |
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1225332703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 038.009006 (Illinois) | Primary |
Provider Name | Tatiyana M Urbin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184665028 PECOS PAC ID: 0345396552 Enrollment ID: I20090914000035 |
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