Wicked Wellness Spa Pllc
NPI #1104610286 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1104610286
- Entity Type
- Organization
- Organization Name
- Wicked Wellness Spa Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 5, 2025
- Last Updated
- Apr 5, 2025
Practice Location
- Address
- 6700 167TH ST STE 4&5
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-2859
- Phone
- (708) 781-3007
Authorized Official
- Name
- PHYLIA IRENE BOLLS, NP
- Title
- OWNER
- Phone
- (708) 600-2005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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