Provider Demographics
NPI:1871001289
Name:TRIWELLNESS, PC
Entity Type:Organization
Organization Name:TRIWELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AARTI
Authorized Official - Middle Name:S
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:224-518-4547
Mailing Address - Street 1:1945 W WILSON AVE STE 6114
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5259
Mailing Address - Country:US
Mailing Address - Phone:224-518-4547
Mailing Address - Fax:
Practice Address - Street 1:1945 W WILSON AVE STE 6116
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5259
Practice Address - Country:US
Practice Address - Phone:224-518-1435
Practice Address - Fax:872-666-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty