360 Wellness

NPI #1629604277 in Shorewood, Illinois

Provider Information

NPI Number: 1629604277
Entity Type: Organization
Organization Name: 360 Wellness
Subpart: Yes (part of a larger organization)
Parent Organization: ELITE FITNESS TRAINING STUDIO, INC.
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 16, 2020
Last Updated: Jan 15, 2023

Practice Location

Address: 700 W JEFFERSON ST STE 2
City: Shorewood
State: Illinois
ZIP Code: 60404-7603
Phone: (815) 530-4397

Authorized Official

Name: MRS. DAWN SIESENER
Title: OWNER/PERSONAL TRAINER
Phone: (815) 530-4397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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