Organization
WELLNESS CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BENTON M.D. (PRESIDENT)
(630) 886-5770
Entity
Organization
Contact information
Practice address
3510 HOBSON RD STE 302, WOODRIDGE, IL 60517-1442
(630) 886-5770
(866) 415-1201
Mailing address
3510 HOBSON RD STE 302, WOODRIDGE, IL 60517-1442
(630) 886-5770
(866) 415-1201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042618102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036095935
ILLINOIS STATE LICENSE
IL
Enumeration date
11/08/2006
Last updated
02/23/2023
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