Healthcare Provider Details

I. General information

NPI: 1811789522
Provider Name (Legal Business Name): PYRAMID HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N FARNSWORTH AVE
AURORA IL
60505-3008
US

IV. Provider business mailing address

317 N FARNSWORTH AVE
AURORA IL
60505-3008
US

V. Phone/Fax

Practice location:
  • Phone: 630-977-6877
  • Fax:
Mailing address:
  • Phone: 630-977-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD ADESHINA WALKER
Title or Position: MD
Credential:
Phone: 630-977-6877