# RESTORATIVE HEALTH CARE, PC

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

## Provider details

- **NPI number:** 1932741568
- **Authorized official:** TARA WISNIEWSKI (OFFICE MANAGER)
- **Authorized official phone:** (630) 942-1234

## Contact information

- **Practice address:** 800 ROOSEVELT RD STE A109, GLEN ELLYN, IL 60137-5846
- **Practice address phone:** (630) 942-1234
- **Mailing address:** 800 ROOSEVELT RD STE A109, GLEN ELLYN, IL 60137-5846
- **Mailing address phone:** (630) 942-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2019
- **Last updated:** 02/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1023205770 | NPI FOR DOCTOR | — |