Enliven Wellness Center LLC

NPI #1003223157 in Chicago, Illinois

Provider Information

NPI Number: 1003223157
Entity Type: Organization
Organization Name: Enliven Wellness Center LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 21, 2014
Last Updated: Jul 21, 2014

Practice Location

Address: 118 N CLINTON ST
Address 2: SUITE 102
City: Chicago
State: Illinois
ZIP Code: 60661-2386
Phone: (773) 738-7146

Authorized Official

Name: RUBY BOTELLO, LMT, RMT
Title: PRESIDENT
Phone: (773) 738-7146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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