| Wicked Wellness Spa Pllc | |
|
6700 167th St Ste 4&5 Tinley Park IL 60477-2859 | |
| (708) 781-3007 | |
| (708) 600-2005 |
| Full Name | Wicked Wellness Spa Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6700 167th St Ste 4&5, Tinley Park, Illinois |
| Authorized Official Name and Position | Phylia Irene Bolls (OWNER) |
| Authorized Official Contact | 7086002005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wicked Wellness Spa Pllc 6700 167th St Ste 4&5 Tinley Park IL 60477-2859 Ph: (708) 781-3007 | Wicked Wellness Spa Pllc 6700 167th St Ste 4&5 Tinley Park IL 60477-2859 Ph: (708) 781-3007 |
| NPI Number | 1104610286 |
|---|---|
| Provider Enumeration Date | 04/05/2025 |
| Last Update Date | 04/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104610286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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