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Contact Information

AFFINITY FAMILY HEALTH AND WELLNESS, PLLC
1108 N EAST ST
OLNEY, IL62450-2462
 Phone: 618-429-9470
 Fax: 833-944-2035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AFFINITY FAMILY HEALTH AND WELLNESS PLLC · (Female)

NPI # 1568938090
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2018
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 0001568938090
  • IL Medicaid 325765630001
  • IL Medicaid 351725028001
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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