Healthcare Provider Details

I. General information

NPI: 1124975669
Provider Name (Legal Business Name): ASSURED WELLNESS HEALTH AND WELLNESS COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4137 SAUK TRL
RICHTON PARK IL
60471-1253
US

IV. Provider business mailing address

1005 WINGATE RD
OLYMPIA FIELDS IL
60461-1605
US

V. Phone/Fax

Practice location:
  • Phone: 708-300-2422
  • Fax:
Mailing address:
  • Phone: 708-481-9313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA BROOKS
Title or Position: OWNER/FOUNDER
Credential: NBC-HWC
Phone: 708-300-2422