NPI 1003223157

Enliven Wellness Center LLC

Organisation Massage Therapist Chicago, IL

Practice location

Address: 118 N Clinton St Suite 102, Chicago, IL 60661-2386
Phone: (773) 738-7146
Fax: (312) 488-4628

Authorised official

Name: Ruby Botello
Title: President
Phone: (773) 738-7146

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227009901 (IL)

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Registry record

NPI: 1003223157
Entity type: Organization
NPI issued: 21 Jul 2014
Record last updated: 21 Jul 2014

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.