Ketamine Wellness Centers Chicago
NPI #1508406588 in Naperville, Illinois
Provider Information
- NPI Number
- 1508406588
- Entity Type
- Organization
- Organization Name
- Ketamine Wellness Centers Chicago
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jan 8, 2020
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 603 E DIEHL RD
- City
- Naperville
- State
- Illinois
- ZIP Code
- 60563-1452
- Phone
- (855) 538-9355
Authorized Official
- Name
- ANITA D JERGER
- Title
- EXECUTIVE ASSISTANT
- Phone
- (855) 538-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Anesthesiology - Pain Medicine — Pain Medicine |
| Anesthesiology |
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