Prescriptive Wellness Llc in Hazel Crest - Sports Medicine
Prescriptive Wellness Llc - NPI 1598920977
Prescriptive Wellness Llc is a Sports Medicine in Hazel Crest, Illinois. Prescriptive Wellness Llc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Prescriptive Wellness Llc is 1598920977. The last update date is 2009-12-09.
Prescriptive Wellness Llc's current location address is 3330 W 177th St Ste 3f, Hazel Crest, Illinois. You can contact this provider via phone number 7734040160. The mailing address for Prescriptive Wellness Llc is 3330 W 177th St Ste 3f, Hazel Crest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prescriptive Wellness Llc |
|---|---|
| Address | 3330 W 177th St Ste 3f, Hazel Crest, Illinois |
| Phone Number | 7734040160 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Watson Carla |
| Credentials | MD |
| Telephone Number | 7734040160 |
NPI Number Detail
| NPI Number | 1598920977 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2009-12-09 |
Provider Mailing Address Detail
| Address | 3330 W 177th St Ste 3f |
|---|---|
| City | Hazel Crest |
| State | Illinois (IL) |
| Post Code | 604292197 |
| Phone Number | 7734040160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | 36106614 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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What is the unique identifier code issued to Prescriptive Wellness Llc by the Centers for Medicare & Medicaid Services?
The Prescriptive Wellness Llc has been assigned the NPI (National Provider Identifier) 1598920977. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Prescriptive Wellness Llc's facilities are geographically located?
The facilities of Prescriptive Wellness Llc are physically situated at the following location: 3330 W 177Th St Ste 3F, Hazel Crest, IL, 604292197.
What is the area of specialization for Prescriptive Wellness Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Prescriptive Wellness Llc is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081S0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598920977 to Prescriptive Wellness Llc?
The Centers for Medicare & Medicaid Services assigned the 1598920977 to Prescriptive Wellness Llc on 2008-07-24.
When was the information regarding Prescriptive Wellness Llc most recently updated?
The details pertaining to the Prescriptive Wellness Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-12-09.