Organization · NPI-2

Introspective Wellness, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Grayslake, IL

NPI number1669237442
StatusActive
Last updated in NPPESFeb 20, 2024

Details

NPI
1669237442
Entity type
Organization (NPI-2)
Legal business name
Introspective Wellness, LLC
Organization subpart
No
Enumeration date
Feb 20, 2024
Certification date
Feb 11, 2024
Last updated
Feb 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

841 Easton Ct.
Grayslake, IL 60030

Phone 224-300-0560

Mailing address

1600 N Milwaukee Ave # 1072
Vernon Hills, IL 60061-1574

Authorized official

Rolanda Parks
Ceo
2243000560

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