Organization
ILLINI WELLNESS MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY MILTON (OWNER)
(815) 546-6812
Entity
Organization
Contact information
Practice address
5459 N 7000W RD, KANKAKEE, IL 60901-7321
(815) 546-6812
Mailing address
5459 N 7000W RD, KANKAKEE, IL 60901-7321
(815) 546-6812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005071
IL
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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