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Contact Information

360 DEGREES WELLNESS & COACHING LLC
225 E DEERPATH
SUITE 280
LAKE FOREST, IL60045-1952
 Phone: 224-619-6982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 360 DEGREES WELLNESS COACHING LLC · (Female)

NPI Number 1497176523
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2013
Last updated 12/16/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 149.011971
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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