Organization
FOUR FLOWERS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FLORES LAC (OWNER)
(312) 404-5882
Entity
Organization
Contact information
Practice address
2225 W NORTH AVE, CHICAGO, IL 60647-5429
(312) 404-5882
Mailing address
2225 W NORTH AVE, CHICAGO, IL 60647-5429
(312) 404-5882
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
198000954
IL
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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