Healthcare Provider Details
I. General information
NPI: 1629322391
Provider Name (Legal Business Name): HEALTH FIRST WELLNESS CENTER S.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2012
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1033 E WOODFIELD RD
SCHAUMBURG IL
60173-4706
US
IV. Provider business mailing address
1037 E WOODFIELD RD
SCHAUMBURG IL
60173-4706
US
V. Phone/Fax
- Phone: 847-519-7046
- Fax: 866-596-3185
- Phone: 847-519-7046
- Fax: 866-596-3185
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVEED
ELAHI
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 847-519-7046