Healthcare Provider Details

I. General information

NPI: 1679488100
Provider Name (Legal Business Name): QI WELLNESS CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12420 ARCHER AVE STE A
LEMONT IL
60439-6799
US

IV. Provider business mailing address

12420 ARCHER AVE STE A
LEMONT IL
60439-6799
US

V. Phone/Fax

Practice location:
  • Phone: 630-740-5650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BEATA CHWALEK-HRUSWICKI
Title or Position: OWNER
Credential:
Phone: 630-740-5650