Provider Demographics
NPI:1164223855
Name:ILLUME WELLBEING, PLLC
Entity type:Organization
Organization Name:ILLUME WELLBEING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-818-2203
Mailing Address - Street 1:5814 E. CUSTER LANE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223
Mailing Address - Country:US
Mailing Address - Phone:509-475-2516
Mailing Address - Fax:
Practice Address - Street 1:16114 E INDIANA AVE STE 115
Practice Address - Street 2:
Practice Address - City:SPOKANE VLY
Practice Address - State:WA
Practice Address - Zip Code:99216-1874
Practice Address - Country:US
Practice Address - Phone:509-818-2203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty