# FUNCTIONAL MEDICAL WELLNESS CENTER , LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396832895
- **Authorized official:** DR. NADEEM AKHTER M.D. (PRESIDENT)
- **Authorized official phone:** (847) 562-0840

## Contact information

- **Practice address:** 3100 DUNDEE RD SUITE 506, NORTHBROOK, IL 60062-2402
- **Practice address phone:** (847) 562-0840
- **Practice address fax:** (847) 562-0842
- **Mailing address:** 3100 DUNDEE RD STE 506, NORTHBROOK, IL 60062-2449
- **Mailing address phone:** (847) 562-0840
- **Mailing address fax:** (847) 562-0842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 364185349 | IL | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 05/10/2012