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General NPI Number Information
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NPI Number | 1760236004
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Entity Type | Organization
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Legal Business Name | PURE WELLNESS CLINIC, PLLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 6853 KINGERY HWY
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5114
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Country | US
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Telephone | 630-387-6577
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Fax | 630-387-6854
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Provider Business Mailing Address
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Address Line | 5048 PRAIRIE SAGE LN
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City | NAPERVILLE
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State | IL
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Zip | 60564-4321
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Country | US
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Telephone | 708-745-0832
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Fax | 630-387-6854
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Authorized Official
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Title or Position | APRN
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Name | YULIYA L RASHEVSKA
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Credential |
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Telephone | 630-387-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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