INTERNATIONAL WELLNESS CENTER CHICAGO
Clinic/Center (Adult Mental Health)

Address: 1617 W North Shore Ave Apt 3, Chicago, IL 60626-6036

INTERNATIONAL WELLNESS CENTER CHICAGO (NPI# 1033797667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033797667
Entity Type Organization
Organization Name INTERNATIONAL WELLNESS CENTER CHICAGO
Practice Address 1617 W North Shore Ave Apt 3
Chicago
IL 60626-6036
Practice Telephone 3123916060
Mailing Address 1617 W North Shore Ave Apt 3
Chicago
IL 60626-6036
Mailing Telephone 3123916060
Certification Date 2021-04-16
Enumeration Date 2021-04-02
Last Update Date 2021-04-16
Authorized Official Telephone 3123916060
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1617 W NORTH SHORE AVE APT 3
City CHICAGO
State IL
Zip Code 60626-6036

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1134617236 Trilogy Inc. Community/Behavioral Health 7474 N Paulina St, Chicago, IL 60626 2018-04-25
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1114520038 Leslie Wolf Counselor - Professional 7730 N Ashland Ave Apt 2b, Chicago, IL 60626-1153 2020-11-21
1174161731 Richard L Nwaorgu Nurse Practitioner - Family 7407 N Winchester Ave Apt 102, Chicago, IL 60626-1545 2019-12-13
1780207340 Tolulope Joshua Olu-Lawal Student in an Organized Health Care Education/Training Program 1947 W Birchwood Ave Apt 3w, Chicago, IL 60626-1571 2020-05-18
1629562152 Beatrice C Hutcherson Social Worker - Clinical 7532 N Rogers Ave Unit 3, Chicago, IL 60626-1710 2018-06-18
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811572241 The Careport, LLC Clinic/Center - Adult Mental Health 101 W Grand Ave Ste 402, Chicago, IL 60654-7129 2021-03-17
1013507433 Chicago Mental and Lifewellness Institute Clinic/Center - Adult Mental Health 4645 S King Dr, Chicago, IL 60653-4148 2021-01-20
1508455361 Humans At Help Foundation Clinic/Center - Adult Mental Health 6424 N Artesian Ave, Chicago, IL 60645-5356 2021-01-15
1508461898 Krista Tyner Therapy LLC Clinic/Center - Adult Mental Health 4132 N Lawndale Ave # 2, Chicago, IL 60618-2007 2020-12-03
1245831569 Chicago Psychiatric LLC Clinic/Center - Adult Mental Health 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 2020-11-03
1184223133 Kevin P. Mcdunn, Psyd, LLC Clinic/Center - Adult Mental Health 605 W Madison St Apt 2001, Chicago, IL 60661-2469 2020-10-21
1124634852 Prosper Counseling Services Clinic/Center - Adult Mental Health 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 2020-09-17
1265040760 Orchid Counseling Chicago Clinic/Center - Adult Mental Health 451 W Melrose St Apt 610, Chicago, IL 60657-3826 2020-07-21
1164040630 Sunshine Therapy Pllc Clinic/Center - Adult Mental Health 3328 N Bell Ave, Chicago, IL 60618-6204 2020-07-10
1437776879 Vesna Healing, LLC Clinic/Center - Adult Mental Health 1225 W Morse Ave Apt 203, Chicago, IL 60626-5675 2020-07-01
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City CHICAGO
Zip Code 60626

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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