Childrens Wellness Center Llc

LBN: Childrens Wellness Center Llc
Childrens Wellness Center Llc is an health care organization with primary practice located at 16505 106Th Ct , Orland Park IL 60467-4545. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Other Service Providers / Specialist is the primary health care specialty. Childrens Wellness Center Llc can be contacted via phone (708) 364-1550, or through Velazquez, Donna via phone (708) 636-8747.

Contact Information

Primary practice address
16505 106Th Ct Orland Park IL 60467-4545
Phone: (708) 364-1550
Fax: (708) 364-1468
Website:
Map and Directions
Authorized official contact:
Name: Velazquez, Donna
Phone: (708) 636-8747

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036079532 Illinois
Other Service Providers / Specialist 174400000X 036114693 Illinois
Other Service Providers / Specialist 174400000X 036115658 Illinois
Other Service Providers / Specialist 174400000X 036116141 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209010813 Illinois

Profile Details

NPI number 1578748067
LBN Legal business name Childrens Wellness Center Llc
DBA Doing business as
Authorized official Velazquez, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Dec 2nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578748067 NPPES
Illinois Other 1376971911 NPI
Illinois Other 1669506390 NPI
Illinois Other 1235263955 NPI
Illinois Other 1912930348 NPI
Illinois Other 1871714360 NPI

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