VIDA HEALTH WELLNESS, PLLC

CHICAGO, IL
NPI1720851413
Entity TypeOrganization
Authorized ContactVIRGINIA BAHENA
Owner
773-413-7264
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-11-03
Last Update Date2024-06-28
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
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