Healthcare Provider Details

I. General information

NPI: 1477434488
Provider Name (Legal Business Name): BEWELL THERAPY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 FOXCROFT RD UNIT 39-139
NAPERVILLE IL
60565-2399
US

IV. Provider business mailing address

39 FOXCROFT RD UNIT 39-139
NAPERVILLE IL
60565-2399
US

V. Phone/Fax

Practice location:
  • Phone: 630-728-1253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS CAMERON
Title or Position: FOUNDER & PSYCHOTHERAPIST
Credential:
Phone: 630-728-1253