VIDA HEALTH WELLNESS, PLLC

CHICAGO, IL
NPI1720851413
Entity TypeOrganization
Authorized ContactVIRGINIA BAHENA
Owner
773-413-7264
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2023-11-03
Last Update Date2024-05-08
Business Address
VIDA HEALTH WELLNESS, PLLC
5747 W FULLERTON AVE
CHICAGO, IL 60639-2353
Phone number: 773-413-7264
Mailing Address
VIDA HEALTH WELLNESS, PLLC
5747 W FULLERTON AVE
CHICAGO, IL 60639-2353
Phone number: 773-413-7264