IVORY WELLNESS PLLC NPI 1003640319

NPI Information

  • NPI: 1003640319
  • Provider Name: IVORY WELLNESS PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 400 LATHROP AVE STE 95
    RIVER FOREST, IL
    ZIP 60305
  • Phone: (708) 724-9255

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NPI Details

IVORY WELLNESS PLLC is a clinic center in River Forest, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IVORY WELLNESS PLLC NPI is 1003640319. The provider is registered as an organization entity type.

The provider's business location address is:

400 LATHROP AVE STE 95
RIVER FOREST, IL
ZIP 60305-869
Phone: (708) 724-9255

The provider's authorized official is Vanessa Przybyla .
The authorized official title is Ownder and has the following contact phone number (708) 790-1952.

The enumeration date for this NPI number is 8/28/2024 and was last updated on 8/28/2024.

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 License Number License State Primary
1261Q00000XClinic/CenterYes
2261QH0100XClinic/CenterHealth ServiceNo

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: 3/30/2025

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