Healing Space, LLC
NPI #1316495534 in St Charles, Illinois
Provider Information
- NPI Number
- 1316495534
- Entity Type
- Organization
- Organization Name
- Healing Space, LLC
- Primary Specialty
- Obstetrics & Gynecology - Gynecology
- Enumeration Date
- Sep 16, 2016
- Last Updated
- Sep 16, 2016
Practice Location
- Address
- 2075 FOXFIELD RD
- Address 2
- SUITE 102
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-1402
- Phone
- (847) 304-5526
Authorized Official
- Name
- MARILYN MITCHELL, MD
- Title
- OWNER
- Phone
- (847) 304-5526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
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