Healthcare Provider Details

I. General information

NPI: 1316867799
Provider Name (Legal Business Name): ORAVELLE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 SOUTHPOINT PKWY APT 11
OXFORD OH
45056-5008
US

IV. Provider business mailing address

3770 SOUTHPOINT PKWY APT 11
OXFORD OH
45056-5008
US

V. Phone/Fax

Practice location:
  • Phone: 312-395-7290
  • Fax: 312-395-7290
Mailing address:
  • Phone: 312-395-7290
  • Fax: 312-395-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PRABHJOT SINGH
Title or Position: OWNER
Credential:
Phone: 312-395-7290