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General NPI Number Information
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NPI Number | 1801603337
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Entity Type | Organization
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Legal Business Name | ENSO WELLNESS CENTER
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 605 ACADEMY DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-2420
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Country | US
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Telephone | 847-582-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 2939 HARTZELL ST
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City | WILMETTE
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State | IL
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Zip | 60091-3036
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Country | US
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Telephone | 847-582-0811
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL BENJAMIN
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Credential |
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Telephone | 312-965-0614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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