Organization
A WELLNESS PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM AHSAM DC (OWNER)
(773) 767-3822
Entity
Organization
Contact information
Practice address
821 E SCHAUMBURG RD, SCHAUMBURG, IL 60194-3654
(630) 289-2225
(773) 337-9106
Mailing address
821 E SCHAUMBURG RD, SCHAUMBURG, IL 60194-3654
(630) 289-2225
(773) 337-9106
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038010462
IL
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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