Provider Demographics
NPI:1942698964
Name:DARBY WELLNESS INC
Entity Type:Organization
Organization Name:DARBY WELLNESS INC
Other - Org Name:DARBY WELLNESS & HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-635-9355
Mailing Address - Street 1:800 S WELLS ST APT 1324
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4541
Mailing Address - Country:US
Mailing Address - Phone:312-635-9355
Mailing Address - Fax:
Practice Address - Street 1:800 S WELLS ST APT 1324
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4541
Practice Address - Country:US
Practice Address - Phone:312-635-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty