QUEENS WEIGHT & WELLNESS CENTER NPI 1619617644

NPI Information

NPI: 1619617644
Provider Name: QUEENS WEIGHT & WELLNESS CENTER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
16266 PRINCE DR
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 222-7333
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QUEENS WEIGHT & WELLNESS CENTER is a psychiatric/mental health nurse practitioner in South Holland, IL. QUEENS WEIGHT & WELLNESS CENTER NPI is 1619617644. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16266 PRINCE DR
SOUTH HOLLAND, IL
ZIP 60473-233
Phone: (708) 222-7333
Fax: (708) 221-0501

The provider's authorized official is Kenisha Davis .
The authorized official title is Owner and has the following contact phone number (708) 655-1482.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163W00000X	Registered Nurse		No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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