Organization
DRIVEN WELLNESS
Active
Other names
Grand Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO PUGLIESE (D.N L.AC.)
(708) 308-8669
Entity
Organization
Contact information
Practice address
3535 ROSE ST UNIT A, FRANKLIN PARK, IL 60131-2013
(847) 233-0806
(847) 233-0453
Mailing address
3535 ROSE ST UNIT A, FRANKLIN PARK, IL 60131-2013
(847) 233-0806
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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