Wellness Chicago Complementary Medical Centers | |
1101 Lake St Suite 350 Oak Park IL 60301-1085 | |
(312) 467-0678 | |
Not Available |
Full Name | Wellness Chicago Complementary Medical Centers |
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Speciality | Clinic/center |
Location | 1101 Lake St, Oak Park, Illinois |
Authorized Official Name and Position | Nancy Dianne Dearinger (MEDICAL DIRECTOR) |
Authorized Official Contact | 3124670678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellness Chicago Complementary Medical Centers 820 N Orleans St Suite 345 Chicago IL 60610-3132 Ph: (312) 467-0678 | Wellness Chicago Complementary Medical Centers 1101 Lake St Suite 350 Oak Park IL 60301-1085 Ph: (312) 467-0678 |
NPI Number | 1508157348 |
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Provider Enumeration Date | 04/27/2011 |
Last Update Date | 04/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508157348 | NPI | - | NPPES |
038-005791 | Other | IL | ILLINOIS LICENSE NUMBER |
1629024518 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 038-005791 (Illinois) | Primary |
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