Organization · Type 2 NPI

360 Wellness

Professional Counselor · Shorewood, IL

NPI number 1629604277 Active

Practice location

700 W Jefferson St Ste 2
Shorewood, IL 60404-7603

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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NPI record

NPI: 1629604277
Entity type: Organization (Type 2)
Issued: Mar 16, 2020
Last updated: Jan 15, 2023
Status: Active
Subpart: Yes of Elite Fitness Training Studio, Inc.

Other names

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360 Wellness · doing business as
360 Wellness · doing business as

Authorized official

Mrs. Dawn Siesener
Owner/personal Trainer
(815) 530-4397

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About NPI 1629604277

360 Wellness's National Provider Identifier is 1629604277, issued on Mar 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shorewood, IL. The record was last updated on Jan 15, 2023.