Provider Demographics
NPI:1538370549
Name:WELLNESS HEALTH LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:WELLNESS HEALTH LIMITED LIABILITY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-321-9363
Mailing Address - Street 1:8700 WAUKEGAN RD
Mailing Address - Street 2:122
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2103
Mailing Address - Country:US
Mailing Address - Phone:847-321-9363
Mailing Address - Fax:847-321-9353
Practice Address - Street 1:8700 WAUKEGAN RD
Practice Address - Street 2:122
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2103
Practice Address - Country:US
Practice Address - Phone:847-321-9363
Practice Address - Fax:847-321-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare