Provider Demographics
NPI:1205594397
Name:EXPRESS WELLNESS INC
Entity type:Organization
Organization Name:EXPRESS WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-586-0003
Mailing Address - Street 1:16927 MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-1240
Mailing Address - Country:US
Mailing Address - Phone:312-586-0003
Mailing Address - Fax:
Practice Address - Street 1:19900 GOVERNORS DR STE 300G
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1059
Practice Address - Country:US
Practice Address - Phone:312-586-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty