# APEX WELLNESS LLC

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

## Provider details

- **NPI number:** 1548033426
- **Authorized official:** JUSTIN BALLARD (COO)
- **Authorized official phone:** (312) 999-9999

## Contact information

- **Practice address:** 1370 W WALTON ST APT 1W, CHICAGO, IL 60642-5627
- **Practice address phone:** (312) 339-5010
- **Mailing address:** 1370 W WALTON ST APT 1W, CHICAGO, IL 60642-5627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/21/2023