| NPI | 1760412068 |
|---|---|
| Doing Business As | INTEGRATIVE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK J. KLEINSCHMIDT VP Of Finance 563-421-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071002883) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038007310) |
| 133V00000X Dietitian, Registered (Licence: IL 164002086) | |
| 207Q00000X Family Medicine (Licence: IL 036062709) | |
| 363A00000X Physician Assistant (Licence: IL 085001982) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |