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NPI 1700407707

NPI 1700407707 : FAMILY HEALTH AND WELLNESS SOLUTIONS LLC : DOWNERS GROVE, IL

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General NPI Number Information
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    NPI Number           |    1700407707
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY HEALTH AND WELLNESS SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    04/30/2020
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    Last Update Date     |    05/12/2020
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Provider Practice Location Address
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    Address Line         |    1323 BUTTERFIELD RD STE 108 
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    City                 |    DOWNERS GROVE
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    State                |    IL
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    Zip                  |    60515-5620
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    Country              |    US
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    Telephone            |    630-407-0100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    403 W HARRISON RD 
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    City                 |    LOMBARD
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    State                |    IL
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    Zip                  |    60148-3215
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    Country              |    US
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    Telephone            |    309-945-6732
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |    DR. CHRISTOPHER MICHAEL HARTMAN 
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    Credential           |    DC
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    Telephone            |    309-945-6732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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