Organization · Type 2 NPI
Ivory Wellness PLLC
Clinic/Center · River Forest, IL
NPI number
1003640319
Active
Practice location
400 Lathrop Ave Ste 95
River Forest, IL 60305-1869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in River Forest
About NPI 1003640319
Ivory Wellness PLLC's National Provider Identifier is 1003640319, issued on Aug 28, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in River Forest, IL. The record was last updated on Aug 28, 2024.