Healthcare Provider Details

I. General information

NPI: 1063346427
Provider Name (Legal Business Name): NEXT LEVEL WELLNESS OF RIVERSIDE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVERSIDE RD STE 3B
RIVERSIDE IL
60546-2280
US

IV. Provider business mailing address

1 RIVERSIDE RD STE 3B
RIVERSIDE IL
60546-2280
US

V. Phone/Fax

Practice location:
  • Phone: 708-708-6398
  • Fax:
Mailing address:
  • Phone: 708-708-6398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GEANABELLE CHAPP
Title or Position: OWNER
Credential: MSN-RN, FNP-S
Phone: 708-708-6398