Provider Demographics
NPI:1326139197
Name:HEALTH & WELLNESS CENTER INC.
Entity Type:Organization
Organization Name:HEALTH & WELLNESS CENTER INC.
Other - Org Name:HEALTH & BEAUTY MEDICAL CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INETTA
Authorized Official - Middle Name:V
Authorized Official - Last Name:NIKOGOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:847-566-0003
Mailing Address - Street 1:333 E IL ROUTE 83
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-4214
Mailing Address - Country:US
Mailing Address - Phone:847-566-0003
Mailing Address - Fax:847-566-5503
Practice Address - Street 1:333 E IL ROUTE 83
Practice Address - Street 2:SUITE 106
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4214
Practice Address - Country:US
Practice Address - Phone:847-566-0003
Practice Address - Fax:847-566-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty