NPI 1003196973

Welllife-A Subsidiary of Innovative Sustainable Solutions

Organisation Community/Behavioral Health Agency Markham, IL

Practice location

Address: 15808 Clifton Park Ave, Markham, IL 60428-3921
Phone: (773) 531-5163

Authorised official

Name: Andre McClerklin
Title: Ceo
Phone: (773) 531-5163

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Illinois →

Registry record

NPI: 1003196973
Entity type: Organization
NPI issued: 24 Aug 2011
Record last updated: 1 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.