Organization
PEDIATRIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAITH S MYERS D.O. (OWNER)
(630) 243-7683
Entity
Organization
Contact information
Practice address
15900 W 127TH ST, SUITE 261, LEMONT, IL 60439-2910
(630) 243-7683
Mailing address
15900 W 127TH ST, SUITE 261, LEMONT, IL 60439-2910
(630) 243-7683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036100053
IL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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