Organization
BIOHAX WELLNESS AND AESTHETICS, LLC
Active
Parent organization
BIOHAX WELLNESS AND AESTHETICS, LLC
Other names
Biohax Integrated Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIOHAX WELLNESS AND AESTHETICS, LLC
Authorized official
MRS. EILEEN LACY (PRESIDENT)
(773) 707-1377
Entity
Organization
Contact information
Practice address
108 N WHITE ST, FRANKFORT, IL 60423-2020
(773) 707-1377
Mailing address
108 N WHITE ST, FRANKFORT, IL 60423-2020
(773) 707-1377
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
332H00000X
Eyewear Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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