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Contact Information

APPLIED WELLNESS CENTER SC
13301 S RIDGELAND AVE
STE A
PALOS HEIGHTS, IL60463-0030
 Phone: 708-489-3700
 Fax: 708-489-3705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for APPLIED WELLNESS CENTER SC

NPI Number 1487722716
LBN Legal business name APPLIED WELLNESS CENTER SC
Authorized official JANELLE PATTARA - (BILLER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 08/15/2011 - About 15 years ago
Identifiers
IL License # 038.008810
IL License # 038008810
IL Other 09927458 BCBS
IL Other 210819 MC PROVIDER #
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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