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Contact Information

CENTER FOR WELLNESS, INC
700 N LAKE ST
STE 102
MUNDELEIN, IL60060-1357
 Phone: 847-949-0063
 Fax: 847-949-2663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Acupuncturist

171100000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CENTER FOR WELLNESS, INC

NPI Number 1619249216
LBN Legal business name CENTER FOR WELLNESS, INC
Authorized official JONATHAN ENGSTROM - (OWNER/CHIROPRACTIC PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2012
Last updated 09/12/2020 - About 6 years ago
Identifiers
IL License # 038.011858
IL License # 038011858
IL License # 180000335
IL License # 198001049
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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