Southern Il Regional Wellness Center
NPI #1295194009 in Washington Park, Illinois
Provider Information
- NPI Number
- 1295194009
- Entity Type
- Organization
- Organization Name
- Southern Il Regional Wellness Center
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 22, 2016
- Last Updated
- May 24, 2016
Practice Location
- Address
- 1736 KINGSHIGHWAY
- City
- Washington Park
- State
- Illinois
- ZIP Code
- 62204-2135
- Phone
- (618) 482-7922
Authorized Official
- Name
- MARK FREELAND
- Title
- CEO
- Phone
- (618) 482-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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