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Organization
THRIVE LIFE WELLNESS CENTER INC
Active
Organization
THRIVE LIFE WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHANELLE HORNE ANP (OWNER)
(331) 300-1440
Entity
Organization
Contact information
Practice address
246 E JANATA BLVD STE 130, LOMBARD, IL 60148-5377
(331) 300-1440
(949) 655-5827
Mailing address
246 E JANATA BLVD STE 130, LOMBARD, IL 60148-5377
(331) 300-1440
(949) 655-5827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184053415
—
IL
Enumeration date
08/27/2018
Last updated
05/07/2025
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