Wellness Medical Center Llc
LBN: Wellness Medical Center Llc
Wellness Medical Center Llc is an health care organization with primary practice located at 8937 W Golf Rd , Niles IL 60714-5812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Physical Therapy. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Wellness Medical Center Llc can be contacted via phone (248) 842-9353, or through Gordon, Olena via phone (847) 375-9711.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1609336627 |
|---|---|
| LBN Legal business name | Wellness Medical Center Llc |
| DBA Doing business as | |
| Authorized official | Gordon, Olena Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Dec 18th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609336627 | NPPES |
| Illinois | MEDICAID | 036131766 | |
| Illinois | Other | F100554988 |
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