Pain And Wellness Group 2 Ltd | |
411 W Saint Charles Rd Villa Park IL 60181-2432 | |
(630) 691-1234 | |
Not Available |
Full Name | Pain And Wellness Group 2 Ltd |
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Speciality | General Practice |
Location | 411 W Saint Charles Rd, Villa Park, Illinois |
Authorized Official Name and Position | Luke Lotriet (OWNER) |
Authorized Official Contact | 6306911234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pain And Wellness Group 2 Ltd Po Box 9 Batavia IL 60510-0009 Ph: () - | Pain And Wellness Group 2 Ltd 411 W Saint Charles Rd Villa Park IL 60181-2432 Ph: (630) 691-1234 |
NPI Number | 1023495421 |
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Provider Enumeration Date | 05/05/2015 |
Last Update Date | 01/24/2017 |
Identifier | Type | State | Issuer |
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1023495421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 036107014 (Illinois) | Primary |
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