Illini Wellness Management

NPI #1447578828 in Kankakee, Illinois

Provider Information

NPI Number: 1447578828
Entity Type: Organization
Organization Name: Illini Wellness Management
Primary Specialty: Psychologist
Enumeration Date: May 11, 2010
Last Updated: May 11, 2010

Practice Location

Address: 5459 N 7000W RD
City: Kankakee
State: Illinois
ZIP Code: 60901-7321
Phone: (815) 546-6812

Authorized Official

Name: MS. HOLLY MILTON
Title: OWNER
Phone: (815) 546-6812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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