Organization
FENIX WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SAJUAN LCSW, CADC (OWNER)
(847) 986-9558
Entity
Organization
Contact information
Practice address
3411 W DIVERSEY AVE STE 15, CHICAGO, IL 60647-1281
(847) 986-9558
Mailing address
PO BOX 8103, GURNEE, IL 60031-7010
(847) 986-9558
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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