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Organization
WELLNESS FOR LIFE
Active
Organization
WELLNESS FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHECA JACKSON (MANAGER)
(773) 596-7108
Entity
Organization
Contact information
Practice address
1515 N HARLEM AVE STE 101, OAK PARK, IL 60302-1205
(708) 948-7039
Mailing address
1515 N HARLEM AVE STE 101, OAK PARK, IL 60302-1205
(708) 948-7039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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