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

Restore Hydration & Wellness Clinic Inc

Organization Community Health Nurse Practitioner · NPI 1669306049

Restore Hydration & Wellness Clinic Inc is a Community Health Nurse Practitioner in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1838B W 95th St
Chicago, IL 60643-1104
Phone: (779) 374-1207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Community Health Nurse Practitioner Taxonomy 363LC1500X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1669306049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keinesha Cox — Owner · (779) 374-1207
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1838b W 95th St, Chicago, IL 60643-1104

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