Living Well Health Management Inc
Living Well Health Management Inc is an Exclusive Provider Organization in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4150 S Berkeley AveChicago, IL 60653-3010
Phone: (773) 285-9100
Fax: (773) 451-2770
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
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 209009287 (IL) |
|---|
Record details
| NPI number | 1336408517 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ida Dixon — President · (773) 285-9100 |
| NPI enumerated | May 9, 2012 |
| Last updated in NPPES | May 9, 2012 |
| Mailing address | 4150 S Berkeley Ave, Chicago, IL 60653-3010 |
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