=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598327694
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NATURAL HEALTH & WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2019
-----------------------------------------------------
Last Update Date | 06/28/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 HILLGROVE AVE STE 3
-----------------------------------------------------
City | WESTERN SPRINGS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60558-1475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-966-9675
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 HILLGROVE AVE STE 3
-----------------------------------------------------
City | WESTERN SPRINGS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60558-1475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-966-9675
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. T F SLOWINSKI
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 708-966-9675
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------