Organization
FIGURE 8 INTEGRATIVE HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY NYUGUTO FNPC (CLINICAL PRACTICE MANAGER)
(732) 425-4363
Entity
Organization
Contact information
Practice address
15 PARK PL STE C, SWANSEA, IL 62226-2918
(732) 425-4363
(618) 257-0715
Mailing address
15 PARK PL STE C, SWANSEA, IL 62226-2918
(732) 425-4363
(618) 257-0715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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