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Contact Information

MILLENIUM WELLNESS CENTER, S.C.
8 S MICHIGAN AVE
SUITE 612
CHICAGO, IL60603-3357
 Phone: 847-361-4971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
 

Acupuncturist

171100000X
 

Massage Therapist

225700000X
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MILLENIUM WELLNESS CENTER, S.C.

NPI # 1952614596
LBN Legal business name MILLENIUM WELLNESS CENTER, S.C.
Authorized official VALERIAN KRAVTSOV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2010
Last updated 07/26/2010 - About 16 years ago
Identifiers n/a
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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