Organization
TOTAL WELLBEING LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAMES SOMMERFELD JR. (PRESIDENT / OWNER)
(312) 568-6161
Entity
Organization
Contact information
Practice address
1512 W CHICAGO AVE, CHICAGO, IL 60642-5204
(312) 224-4688
(312) 224-4699
Mailing address
1512 W CHICAGO AVE, CHICAGO, IL 60642-5204
(312) 224-4688
(312) 224-4699
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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