PROSPER HEALTH AND WELLNESS LLC NPI 1619572419

NPI Information

NPI: 1619572419
Provider Name: PROSPER HEALTH AND WELLNESS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
122 S MICHIGAN AVE
CHICAGO, IL
ZIP 60603
Phone: (312) 279-9814
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PROSPER HEALTH AND WELLNESS, LLC is a primary care clinic center in Chicago, IL. PROSPER HEALTH AND WELLNESS, LLC NPI is 1619572419. The provider is registered as an organization entity type.

The provider's business location address is:

122 S MICHIGAN AVE
CHICAGO, IL
ZIP 60603-191
Phone: (312) 279-9814
Fax: (312) 279-9879

The provider's authorized official is Gladys Larsen .
The authorized official title is Founder-ceo and has the following contact phone number (312) 279-9184.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 12/5/2020.

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
1	261QP2300X	Clinic/Center	Primary Care			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: 11/14/2023

NPI Synchronization or Removal

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