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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EQUILIBRIUM HEALTH AND WELLNESS, LLC

Deactivated Organization

EQUILIBRIUM HEALTH AND WELLNESS, LLC is a Preferred Provider Organization organization located in CHICAGO, Illinois. NPI 1093066003 is deactivated in the NPPES registry. Verify at CMS.

Preferred Provider Organization · CHICAGO, IL

This NPI has been deactivated. The record was deactivated on August 31, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1093066003
Provider Type
Organization
NPI Issued
Oct 1, 2012 (8.9150684931507 yrs)
Last Updated
Sep 14, 2021
Deactivated
Aug 31, 2021
License
038012068 (IL)

Practice Information

Address
1509 S STATE ST
CHICAGO, IL, 606052804
Browse IL providers · Browse ZIP 60605
Phone
3123441384
Fax
3123441457
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in CHICAGO, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.