| NPI | 1881319911 |
|---|---|
| Other Name | ENVOGUE MED & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SANDRA MADRID VALINO STOCK Owner/Physician 630-670-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-02-17 |