Prescriptive Wellness LLC
NPI #1598920977 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1598920977
- Entity Type
- Organization
- Organization Name
- Prescriptive Wellness LLC
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Enumeration Date
- Jul 24, 2008
- Last Updated
- Dec 9, 2009
Practice Location
- Address
- 3330 W 177TH ST STE 3F
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2197
- Phone
- (773) 404-0160
Authorized Official
- Name
- DR. CARLA WATSON, MD
- Title
- MD
- Phone
- (773) 404-0160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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