Community Wellness Center, LLC

NPI #1174912166 in Shorewood, Illinois

Provider Information

NPI Number: 1174912166
Entity Type: Organization
Organization Name: Community Wellness Center, LLC
Primary Specialty: Health Educator
Enumeration Date: Jan 14, 2015
Last Updated: Jan 14, 2015

Practice Location

Address: 863 CENTER CT
Address 2: SUITE A
City: Shorewood
State: Illinois
ZIP Code: 60404-8511
Phone: (815) 404-0003

Authorized Official

Name: MS. RICHELLE PETERSON, LMT
Title: OWNER
Phone: (815) 404-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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