Organization
COMMUNITY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICHELLE PETERSON LMT (OWNER)
(815) 404-0003
Entity
Organization
Contact information
Practice address
863 CENTER CT, SUITE A, SHOREWOOD, IL 60404-8511
(815) 404-0003
Mailing address
863 CENTER CT, SUITE A, SHOREWOOD, IL 60404-8511
(815) 404-0003
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
227.013688
IL
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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