| NPI | 1750964714 |
|---|---|
| Former Legal Business Name | LIFE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | VONNISE RENEE' HUSSEY Owner/Doctorate Fnp 312-285-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-12-29 |