Organization
DOKKO WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE DOKKO OSBORNE LCPC, NCC (OWNER)
(773) 809-3528
Entity
Organization
Contact information
Practice address
17 N WABASH AVE STE 515, CHICAGO, IL 60602-4818
(773) 809-3528
Mailing address
6711 N LORON AVE, CHICAGO, IL 60646-1409
(303) 810-3144
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316437809
NPPES (NPI 1)
—
01
—
181.012798
STATE OF ILLINOIS-DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
05/17/2021
Last updated
05/17/2021
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