# ADVANCED WELLNESS CLINICS

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

## Provider details

- **NPI number:** 1629373212
- **Authorized official:** DR. HELENE M RUIZ-PLA M.D, (PHYSICIAN)
- **Authorized official phone:** (708) 450-0705

## Contact information

- **Practice address:** 1835 N BROADWAY AVENUE, SUITE 104, MELROSE PARK, IL 60160
- **Practice address phone:** (708) 450-0705
- **Mailing address:** 1835 N BROADWAY AVENUE, SUITE 104, MELROSE PARK, IL 60160
- **Mailing address phone:** (708) 450-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036074432 | IL | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 01/13/2011