Wise Roots Wellness, Llc

LBN: Wise Roots Wellness, Llc
Wise Roots Wellness, Llc is an health care organization with primary practice located at 3600 W Wrightwood Ave , Chicago IL 60647-1138. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Wise Roots Wellness, Llc can be contacted via phone (312) 445-8906, or through Wharton, Virginia Wyatt via phone (312) 259-2112.

Contact Information

Primary practice address
3600 W Wrightwood Ave Chicago IL 60647-1138
Phone: (312) 445-8906
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wharton, Virginia Wyatt
Phone: (312) 259-2112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149015015 Illinois

Profile Details

NPI number 1023350063
LBN Legal business name Wise Roots Wellness, Llc
DBA Doing business as
Authorized official Wharton, Virginia Wyatt
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2013
Last updated Mar 16th, 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.

Request for update

Popular Providers