# IVORY WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivory Wellness & Aesthetics, Ivory Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003640319
- **Authorized official:** VANESSA PRZYBYLA FNP-BC (OWNDER)
- **Authorized official phone:** (708) 790-1952

## Contact information

- **Practice address:** 400 LATHROP AVE STE 95, RIVER FOREST, IL 60305-1869
- **Practice address phone:** (708) 724-9255
- **Mailing address:** 400 LATHROP AVE STE 95, RIVER FOREST, IL 60305-1869
- **Mailing address phone:** (708) 724-9255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024