Wellness Restoration Centers of Illinois, LLC

NPI #1659603611 in Belleville, Illinois

Provider Information

NPI Number: 1659603611
Entity Type: Organization
Organization Name: Wellness Restoration Centers of Illinois, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAN NESS ENTREPRISES, LLP
Primary Specialty: Nutritionist
Enumeration Date: Feb 2, 2010
Last Updated: Feb 2, 2010

Practice Location

Address: 700A S ILLINOIS ST
City: Belleville
State: Illinois
ZIP Code: 62220-2142
Phone: (618) 277-6300

Authorized Official

Name: RANDEE P VAN NESS, MS
Title: CEO
Phone: (719) 651-5102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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