Healthcare Provider Details

I. General information

NPI: 1235952318
Provider Name (Legal Business Name): HEALTH BOX CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 12/12/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 W LAKE AVE STE 307
GLENVIEW IL
60026
US

IV. Provider business mailing address

3633 W LAKE AVE STE 307
GLENVIEW IL
60026
US

V. Phone/Fax

Practice location:
  • Phone: 224-676-0462
  • Fax: 847-906-1092
Mailing address:
  • Phone: 224-676-0462
  • Fax: 847-906-1092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: OLGA ARBITMAN
Title or Position: OWNER
Credential: DN
Phone: 224-676-0462