Organization
BELLA FAMILY HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER MARIE WENZEL (GENERAL MANAGER)
(217) 355-8346
Entity
Organization
Contact information
Practice address
100 DEERPATH, CHARLESTON, IL 61920-9427
(217) 345-4325
Mailing address
2502 GALEN DR, SUITE 101, CHAMPAIGN, IL 61821-7045
(217) 355-8346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
248.000561
IL
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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