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Contact Information

LIFE WELLNESS CLINIC, INC.
2037 MILWAUKEE AVE
RIVERWOODS, IL60015-3581
 Phone: 847-242-8047
 Fax: 847-242-8048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LIFE WELLNESS CLINIC, INC.

NPI Number 1023396744
LBN Legal business name LIFE WELLNESS CLINIC, INC.
Authorized official MOON HONG DOH - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2011
Last updated 07/29/2011 - About 15 years ago
Identifiers
IL License # 038011280
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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