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NPI Code Detail

MEDICARE: UNITED HEALTH AND WELLNESS CLINIC PLLC

MEDICARE: UNITED HEALTH AND WELLNESS CLINIC PLLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1902757321
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED HEALTH AND WELLNESS CLINIC PLLC
Provider Business Mailing Address
First Line : 1963 MCCRAREN RD
Second Line :
City : HIGHLAND PARK
State : IL
Zip : 60035-2228
Country : US
Telephone Number : 618-698-3110
Fax Number :
Provider Business Practice Location Address
First Line : 2748 W TOUHY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60645-3008
Country : US
Telephone Number : 618-698-3110
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : ADESOLA BABALOLA
Credential : FNP
Telephone Number : 618-698-3110
Provider Enumeration Date : 02/04/2026
Last Update Date : 05/08/2026

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Directions to “UNITED HEALTH AND WELLNESS CLINIC PLLC ” Practice Location

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