Healthcare Provider Details

I. General information

NPI: 1194959791
Provider Name (Legal Business Name): ARLINGTON HEALTH AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 N ARLINGTON HEIGHTS RD SUITE A
ARLINGTON HEIGHTS IL
60004-7701
US

IV. Provider business mailing address

339 JEFFERSON CT
VERNON HILLS IL
60061-1331
US

V. Phone/Fax

Practice location:
  • Phone: 847-392-7901
  • Fax: 847-392-7921
Mailing address:
  • Phone: 847-392-7901
  • Fax: 847-392-7921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number038010389
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number038010389
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number038010389
License Number StateIL

VIII. Authorized Official

Name: DR. AARON WAHL
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-946-2838