Fourcorners Wellness Center, Ltd
LBN: Fourcorners Wellness Center, Ltd
Fourcorners Wellness Center, Ltd is an health care organization with primary practice located at 4001 N Perryville Rd , Loves Park IL 61111-8644. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Fourcorners Wellness Center, Ltd can be contacted via phone (815) 988-4370, or through Polky, Kevin M via phone (815) 988-4370.
Contact Information
Primary practice address
4001 N Perryville Rd
Loves Park IL 61111-8644
Phone: (815) 988-4370
Fax:
Website:
Authorized official contact:
Name: Polky, Kevin M Licensed Clinical Social Worker (LCSW)
Phone: (815) 988-4370
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1932968633 |
---|---|
LBN Legal business name | Fourcorners Wellness Center, Ltd |
DBA Doing business as | |
Authorized official | Polky, Kevin M Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 15th, 2024 |
Last updated | Mar 15th, 2024 - about 6 months 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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