Organization
THRIVE FOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE M VIRUET LCPC (CLINICAL DIRECTOR)
(773) 710-6315
Entity
Organization
Contact information
Practice address
2904 N PARKSIDE AVE, CHICAGO, IL 60634-5320
(773) 710-6315
Mailing address
2904 N PARKSIDE AVE, CHICAGO, IL 60634-5320
(773) 710-6315
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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