NPI 1497197719

Wellness Integrative Medicine INC

Organisation Family Medicine Physician Hazel Crest, IL

Practice location

Address: 3330 W 177th St Suite 2g, Hazel Crest, IL 60429-2184
Phone: (708) 539-4569

Authorised official

Name: Rushia Butler Butler
Title: Physician
Phone: (708) 539-4569

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036103914 (IL)

Other Family Medicine providers in Illinois →

Registry record

NPI: 1497197719
Entity type: Organization
NPI issued: 28 Jul 2013
Record last updated: 28 Jul 2013

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.