Organization
CHILDRENS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA VELAZQUEZ (OFFICE MANAGER)
(708) 636-8747
Entity
Organization
Contact information
Practice address
16505 106TH CT, ORLAND PARK, IL 60467-4545
(708) 364-1550
(708) 364-1468
Mailing address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 636-8747
(708) 636-5854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036079532
IL
174400000X
Specialist
036114693
IL
174400000X
Specialist
036115658
IL
174400000X
Specialist
036116141
IL
363LP0200X
Pediatric Nurse Practitioner
209010813
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235263955
NPI
IL
01
—
1376971911
NPI
IL
01
—
1669506390
NPI
IL
01
—
1871714360
NPI
IL
01
—
1912930348
NPI
IL
Enumeration date
01/03/2008
Last updated
12/02/2013
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