Organization · NPI-2

A Wellness Physician Group LLC

Clinic/Center · Schaumburg, IL

NPI number1447772926
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1447772926
Entity type
Organization (NPI-2)
Legal business name
A Wellness Physician Group LLC
Organization subpart
No
Enumeration date
Jul 17, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center038010462ILYes

Practice location

821 E Schaumburg Rd
Schaumburg, IL 60194-3654

Phone 630-289-2225 · Fax 773-337-9106

Mailing address

821 E Schaumburg Rd
Schaumburg, IL 60194-3654

Phone 630-289-2225 · Fax 773-337-9106

Authorized official

Maryam Ahsam
Owner
7737673822

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