Provider Demographics
NPI:1184785651
Name:CHC WELLNESS INC
Entity type:Organization
Organization Name:CHC WELLNESS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAWICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-242-3149
Mailing Address - Street 1:5440 N. CUMBERLAND AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1531
Mailing Address - Country:US
Mailing Address - Phone:847-640-4440
Mailing Address - Fax:847-437-2770
Practice Address - Street 1:5440 N. CUMBERLAND AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1531
Practice Address - Country:US
Practice Address - Phone:847-640-4440
Practice Address - Fax:847-437-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty