Organization
INTEGRATIVE HEALTH & BEHAVIORAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT HERNANDEZ (OWNER)
(773) 225-0269
Entity
Organization
Contact information
Practice address
241 GOLF MILL CTR, SUITE 324, NILES, IL 60714-1224
(847) 972-0054
(847) 626-6433
Mailing address
241 GOLF MILL CTR, SUITE 324, NILES, IL 60714-1224
(847) 972-0054
(847) 626-6433
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
085-000601
IL
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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