| Ilioswellness | |
|
645 N Kingsbury St Apt 1505 Chicago IL 60654-6583 | |
| (312) 715-7527 | |
| Not Available |
| Full Name | Ilioswellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 645 N Kingsbury St Apt 1505, Chicago, Illinois |
| Authorized Official Name and Position | Sophia Hountalas (OWNER/PROVIDER) |
| Authorized Official Contact | 3127157527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilioswellness 645 N Kingsbury St Apt 1505 Chicago IL 60654-6583 Ph: (312) 715-7527 | Ilioswellness 645 N Kingsbury St Apt 1505 Chicago IL 60654-6583 Ph: (312) 715-7527 |
| NPI Number | 1174464754 |
|---|---|
| Provider Enumeration Date | 04/06/2026 |
| Last Update Date | 04/06/2026 |
| Certification Date | 04/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174464754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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