National Provider Identifier Database

CHICAGO WELLNESS CENTER FOR FAMILIES PLLC
Professional


Contact Information

CHICAGO WELLNESS CENTER FOR FAMILIES PLLC
1017 W CULLERTON ST
CHICAGO, IL60608-3318
Phone: 312-241-2248
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Behavior Analyst 103K00000X
Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for CHICAGO WELLNESS CENTER FOR FAMILIES PLLC

NPI Number 1588399216
Legal business name
LBN
CHICAGO WELLNESS CENTER FOR FAMILIES PLLC
Authorized official JACQUELINE SALAZAR - (OWNER/THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 07/18/2022
Last updated 06/04/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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