Addiction Wellness Services Inc

LBN: Addiction Wellness Services Inc
Addiction Wellness Services Inc is an health care organization with primary practice located at 5504 N 2Nd St , Loves Park IL 61111-5013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as the primary health care specialty. Addiction Wellness Services Inc can be contacted via phone (815) 997-4516, or through Goyal, Gagandeep via phone (267) 226-4760.

Contact Information

Primary practice address
5504 N 2Nd St Loves Park IL 61111-5013
Phone: (815) 997-4516
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goyal, Gagandeep Doctor of Medicine (MD)
Phone: (267) 226-4760

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD438154 Pennsylvania

Profile Details

NPI number 1467966853
LBN Legal business name Addiction Wellness Services Inc
DBA Doing business as
Authorized official Goyal, Gagandeep Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2017
Last updated Jan 29th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467966853 NPPES
Pennsylvania Other MD438154 PA LICENSE
Pennsylvania Other 036144684 PA LICENSE

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