Organization
MO S WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAILIAN MO NP (OWNER)
(773) 470-3735
Entity
Organization
Contact information
Practice address
3811 S HERMITAGE AVE, CHICAGO, IL 60609-2007
(773) 470-3735
Mailing address
3811 S HERMITAGE AVE, CHICAGO, IL 60609-2007
(773) 470-3735
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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