| Wellness Made Whole Inc | |
|
1175 Lily Cache Ln Bolingbrook IL 60490-3122 | |
| (815) 290-9048 | |
| Not Available |
| Full Name | Wellness Made Whole Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1175 Lily Cache Ln, Bolingbrook, Illinois |
| Authorized Official Name and Position | Kiyana Jackson (OWNER) |
| Authorized Official Contact | 7089971301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Made Whole Inc 1175 Lily Cache Ln Bolingbrook IL 60490-3122 Ph: (815) 290-9048 | Wellness Made Whole Inc 1175 Lily Cache Ln Bolingbrook IL 60490-3122 Ph: (815) 290-9048 |
| NPI Number | 1154886455 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154886455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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