| 360 Wellness | |
|
700 W Jefferson St Ste 2 Shorewood IL 60404-7603 | |
| (815) 530-4397 | |
| Not Available |
| Full Name | 360 Wellness |
|---|---|
| Speciality | Counselor - Professional |
| Location | 700 W Jefferson St Ste 2, Shorewood, Illinois |
| Authorized Official Name and Position | Dawn Siesener (OWNER/PERSONAL TRAINER) |
| Authorized Official Contact | 8155304397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Wellness 700 W Jefferson St Ste 2 Shorewood IL 60404-7603 Ph: (815) 530-4397 | 360 Wellness 700 W Jefferson St Ste 2 Shorewood IL 60404-7603 Ph: (815) 530-4397 |
| NPI Number | 1629604277 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 01/15/2023 |
| Certification Date | 01/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629604277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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