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Organization
CHILDRENS WELLNESS CENTER LLC
Active
Organization
CHILDRENS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYA WILBANKS (OFFICE MANAGER)
(708) 364-1550
Entity
Organization
Contact information
Practice address
16505 106TH CT, ORLAND PARK, IL 60467-4522
(708) 364-1550
(708) 364-1468
Mailing address
16505 106TH CT, ORLAND PARK, IL 60467-4522
(708) 364-1550
(708) 364-1468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036079532
IL
174400000X
Specialist
036114693
IL
174400000X
Specialist
036115658
IL
174400000X
Specialist
036116141
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
209010813
IL
Other
Enumeration date
01/03/2008
Last updated
07/07/2026
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