institution
Southern Il Regional Wellness Center
Federally Qualified Health Center (FQHC) in Washington Park, Illinois
NPI 1295194009

Southern Il Regional Wellness Center is a Federally Qualified Health Center (FQHC) based in Washington Park, IL and is specialized in Federally Qualified Health Center (FQHC). Southern Il Regional Wellness Center practices in Washington Park, IL. The NPI Number for Southern Il Regional Wellness Center is 1295194009 and holds a License No. (Illinois).

The current practice location address for Southern Il Regional Wellness Center is 1736 Kingshighway, Washington Park, IL and can be reached out via phone at 618-482-7922 and via fax at 618-215-4048.

Location: 1736 Kingshighway, Washington Park, IL, 62204-2135
institution
Provider Profile Details
NPI Number
1295194009
Provider Name
Southern Il Regional Wellness Center
Credential
Provider Entity Type
Organization
Address
1736 Kingshighway, Washington Park, IL, 62204-2135
Phone Number
618-482-7922
Fax Number
618-215-4048
Provider Enumeration Date
02/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336258540 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
1736 Kingshighway
City
State
Zip
62204-2135
Phone Number
618-482-7922
Fax Number
618-215-4048
person
Provider Business Mailing Address Details
Address
1736 Kingshighway
City
State
Zip
62204-2135
Phone Number
618-482-7922
Fax Number
618-215-4048
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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