Provider Demographics
NPI:1225803091
Name:ALL WELL MEDICAL CLINIC INC.
Entity Type:Organization
Organization Name:ALL WELL MEDICAL CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:630-363-8999
Mailing Address - Street 1:101 HEMPSTEAD PL STE 1D
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60433-1749
Mailing Address - Country:US
Mailing Address - Phone:815-485-4610
Mailing Address - Fax:815-485-4613
Practice Address - Street 1:101 HEMPSTEAD PL STE 1D
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60433-1749
Practice Address - Country:US
Practice Address - Phone:815-485-4610
Practice Address - Fax:815-485-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty