Provider Demographics
NPI:1457506214
Name:CORPORATE WELLNESS INC
Entity Type:Organization
Organization Name:CORPORATE WELLNESS INC
Other - Org Name:COMPLETE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHWINN
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LDN
Authorized Official - Phone:815-585-2318
Mailing Address - Street 1:24300 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5494
Mailing Address - Country:US
Mailing Address - Phone:815-585-2318
Mailing Address - Fax:
Practice Address - Street 1:2272 W 95TH ST STE 305
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8944
Practice Address - Country:US
Practice Address - Phone:815-585-2318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164004028133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty