Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketamine Wellness Centers Chicago

Organization Registered Nurse · NPI 1508406588

Ketamine Wellness Centers Chicago is a Registered Nurse in Naperville, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

603 E Diehl Rd
Naperville, IL 60563-1452
Phone: (855) 538-9355
Fax: (844) 538-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Registered Nurse Taxonomy 163W00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X

Record details

NPI number1508406588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
NPI enumeratedJanuary 8, 2020
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address603 E Diehl Rd Ste 139, Naperville, IL 60563-4905

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