Organization
NEW LEAF WELLNESS & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ANDERSON FNP-B.C. (OWNER)
(219) 973-7159
Entity
Organization
Contact information
Practice address
22100 MEADOW LAKE PL, RICHTON PARK, IL 60471-1299
(219) 973-7159
Mailing address
22100 MEADOW LAKE PL, RICHTON PARK, IL 60471-1299
(219) 973-7159
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/06/2022
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