Organization
MADEINA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMALAXMI SHANMUGAVELAYUTHAM LCSW (FOUNDER)
(630) 908-0447
Entity
Organization
Contact information
Practice address
3049 W GRACE ST # 1, CHICAGO, IL 60618-4539
(630) 908-0447
Mailing address
3049 W GRACE ST # 1, CHICAGO, IL 60618-4539
(630) 908-0447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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