Organization
DYNAMIC MEDICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANESHA HOWARD NP (CEO & FOUNDER)
(630) 949-7369
Entity
Organization
Contact information
Practice address
19710 GOVERNORS HWY STE 51161, FLOSSMOOR, IL 60422-2080
(630) 949-7369
(630) 358-6914
Mailing address
19710 GOVERNORS HWY STE 51161, FLOSSMOOR, IL 60422-2080
(630) 949-7369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
03/26/2025
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