Organization
WELLPO HEALTH
Active
Other names
WellPo Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA POWELL FNP (NURSE PRACTITIONER)
(312) 952-6347
Entity
Organization
Contact information
Practice address
1835 DIXIE HWY STE 104, FLOSSMOOR, IL 60422-1974
(312) 952-6347
Mailing address
936 CENTRAL PARK AVE, FLOSSMOOR, IL 60422-2258
(708) 654-3538
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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