| Starlife Wellness Clinic Llc | |
|
9830 Ridgeland Ave Chicago Ridge IL 60415-2667 | |
| (773) 396-2894 | |
| Not Available |
| Full Name | Starlife Wellness Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9830 Ridgeland Ave, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Mary Coleman (BILLER) |
| Authorized Official Contact | 7087699685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlife Wellness Clinic Llc 9830 Ridgeland Ave Chicago Ridge IL 60415-2667 Ph: () - | Starlife Wellness Clinic Llc 9830 Ridgeland Ave Chicago Ridge IL 60415-2667 Ph: (773) 396-2894 |
| NPI Number | 1417713454 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417713454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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