Organization
OHR HEALTH AND WELLNESS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYA ROBERT LUIS NP (OWNER)
(847) 909-3196
Entity
Organization
Contact information
Practice address
783 WATERSIDE DR, SOUTH ELGIN, IL 60177-3718
(847) 909-3196
Mailing address
783 WATERSIDE DR, SOUTH ELGIN, IL 60177-3718
(847) 909-3196
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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