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Organization

IVORY WELLNESS PLLC

Active
Other names
Ivory Wellness & Aesthetics, Ivory Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA PRZYBYLA FNP-BC (OWNDER)
(708) 790-1952
Entity
Organization

Contact information

Practice address
400 LATHROP AVE STE 95, RIVER FOREST, IL 60305-1869
(708) 724-9255
Mailing address
400 LATHROP AVE STE 95, RIVER FOREST, IL 60305-1869
(708) 724-9255

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
08/28/2024
Last updated
08/28/2024
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