# A WELLNESS PHYSICIAN GROUP LLC

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

## Provider details

- **NPI number:** 1447772926
- **Authorized official:** MARYAM AHSAM DC (OWNER)
- **Authorized official phone:** (773) 767-3822

## Contact information

- **Practice address:** 821 E SCHAUMBURG RD, SCHAUMBURG, IL 60194-3654
- **Practice address phone:** (630) 289-2225
- **Practice address fax:** (773) 337-9106
- **Mailing address:** 821 E SCHAUMBURG RD, SCHAUMBURG, IL 60194-3654
- **Mailing address phone:** (630) 289-2225
- **Mailing address fax:** (773) 337-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038010462 | IL | Yes |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 07/21/2022