Provider Demographics
NPI:1013730605
Name:TMS WELLNESS LLC
Entity type:Organization
Organization Name:TMS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:RUKAYAT
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-968-9173
Mailing Address - Street 1:5219 NORTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1358
Mailing Address - Country:US
Mailing Address - Phone:773-968-9173
Mailing Address - Fax:
Practice Address - Street 1:5219 NORTHWIND DR
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1358
Practice Address - Country:US
Practice Address - Phone:773-968-9173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty