Queens Weight & Wellness Center

LBN: Queens Weight & Wellness Center
Queens Weight & Wellness Center is an health care organization with primary practice located at 16266 Prince Dr , South Holland IL 60473-3233. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Queens Weight & Wellness Center can be contacted via phone (708) 222-7333, or through Davis, Kenisha via phone (708) 655-1482.

Contact Information

Primary practice address
16266 Prince Dr South Holland IL 60473-3233
Phone: (708) 222-7333
Fax: (708) 221-0501
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kenisha Advanced Practice Registered Nurse (APRN)
Phone: (708) 655-1482

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1619617644
LBN Legal business name Queens Weight & Wellness Center
DBA Doing business as
Authorized official Davis, Kenisha Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2022
Last updated Jan 31st, 2023 - about 3 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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