Organization
PROSPER HEALTH AND WELLNESS, LLC
Active
Other names
Prosper Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS LARSEN NP (CEO)
(708) 465-2299
Entity
Organization
Contact information
Practice address
7901 W 159TH ST, TINLEY PARK, IL 60477-1881
(312) 279-9814
(312) 279-9879
Mailing address
122 S MICHIGAN AVE, CHICAGO, IL 60603-6191
(312) 279-9814
(312) 279-9879
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
01/23/2025
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