Fusion of Wellness: Body, Mind, and Soul, LLC
Fusion of Wellness: Body, Mind, and Soul, LLC is a Primary Care Clinic/Center in Georgetown, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
712 N Main StGeorgetown, IL 61846-1440
Phone: (217) 274-6966
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 209009867 (IL) |
|---|
Record details
| NPI number | 1922503465 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fabienne Witherspoon — Owner/Nurse Practitioner · (217) 274-6966 |
| NPI enumerated | March 27, 2018 |
| Last updated in NPPES | May 7, 2018 |
| Mailing address | 712 N Main St, Georgetown, IL 61846-1440 |