Healthcare Provider Details

I. General information

NPI: 1629152350
Provider Name (Legal Business Name): UNIVERSAL WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 S ARTHUR AVE
ARLINGTON HEIGHTS IL
60005-2829
US

IV. Provider business mailing address

940 S ARTHUR AVE
ARLINGTON HEIGHTS IL
60005-2829
US

V. Phone/Fax

Practice location:
  • Phone: 847-398-9355
  • Fax:
Mailing address:
  • Phone: 847-398-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. PATRICK THOMAS QUIGLEY
Title or Position: PRESIDENT
Credential: D.C
Phone: 847-398-9355