Organization
AMS WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE CHURCH (BILLING DIRECTOR)
(630) 207-8506
Entity
Organization
Contact information
Practice address
277 83RD ST STE D, BURR RIDGE, IL 60527
(630) 891-3027
Mailing address
277 83RD ST STE D, BURR RIDGE, IL 60527
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
248.001954
IL
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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