Starlife Wellness Clinic LLC
NPI #1417713454 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1417713454
- Entity Type
- Organization
- Organization Name
- Starlife Wellness Clinic LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 27, 2024
- Last Updated
- May 9, 2024
Practice Location
- Address
- 9830 RIDGELAND AVE
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60415-2667
- Phone
- (773) 396-2894
Authorized Official
- Name
- MARY COLEMAN
- Title
- BILLER
- Phone
- (708) 769-9685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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