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NPI Code Detail

MEDICARE: WAYS TO WELLNESS M.D., INC.

MEDICARE: WAYS TO WELLNESS M.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization

General Provider Information

NPI Number : 1669769634
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAYS TO WELLNESS M.D., INC.
Provider Business Mailing Address
First Line : 1523 ESSINGTON RD
Second Line :
City : JOLIET
State : IL
Zip : 60435-2879
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1523 ESSINGTON RD
Second Line :
City : JOLIET
State : IL
Zip : 60435-2879
Country : US
Telephone Number : 630-750-6306
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : CHERYL LYNN E SWEENEY
Credential :
Telephone Number : 727-674-8079
Provider Enumeration Date : 06/29/2011
Last Update Date : 06/29/2011

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Directions to “WAYS TO WELLNESS M.D., INC. ” Practice Location

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