Healthcare Provider Details

I. General information

NPI: 1700407707
Provider Name (Legal Business Name): FAMILY HEALTH AND WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 BUTTERFIELD RD STE 108
DOWNERS GROVE IL
60515-5620
US

IV. Provider business mailing address

403 W HARRISON RD
LOMBARD IL
60148-3215
US

V. Phone/Fax

Practice location:
  • Phone: 630-407-0100
  • Fax:
Mailing address:
  • Phone: 309-945-6732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER MICHAEL HARTMAN
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 309-945-6732