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Organization
SRS WELLNESS & VITALITY
Active
Organization
SRS WELLNESS & VITALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEWIS FNP (PROVIDER, OWNER)
(630) 332-5381
Entity
Organization
Contact information
Practice address
850 W BARTLETT RD STE 5C, BARTLETT, IL 60103-4454
(630) 332-5381
Mailing address
850 W BARTLETT RD STE 5C, BARTLETT, IL 60103-4454
(630) 332-5381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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