Great Lakes Health & Wellness,Sc
LBN: Great Lakes Health & Wellness,Sc
Great Lakes Health & Wellness,Sc is an health care organization with primary practice located at 7250 W College Dr Ste 1Sw , Palos Heights IL 60463-1393. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Great Lakes Health & Wellness,Sc can be contacted via phone (708) 371-6114, or through Peterson, Mary via phone (708) 574-0736.
Contact Information
Primary practice address
7250 W College Dr Ste 1Sw
Palos Heights IL 60463-1393
Phone: (708) 371-6114
Fax: (708) 371-0816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038.008605 | Illinois |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1831351873 |
|---|---|
| LBN Legal business name | Great Lakes Health & Wellness,Sc |
| DBA Doing business as | |
| Authorized official | Peterson, Mary Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Jul 16th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831351873 | NPPES |
| Illinois | Other | 038.008605 | LICENSE |
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