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

PHOENIX HOLISTIC & NUTRITIONAL CENTER

Active Organization

Health & Wellness Coach · IPAVA, IL

Registration Details

NPI Number
1104782689
Provider Type
Organization
NPI Issued
Dec 29, 2025 (0.31280083232607 yrs)
Last Updated
Dec 29, 2025

Practice Information

Address
10 N ORCHARD ST
IPAVA, IL, 614415289
Browse IL providers · Browse ZIP 61441
Phone
3092045133
Primary Specialty
Health & Wellness Coach
171400000X
Additional Specialty
Reflexologist
Additional Specialty
Peer Specialist
Additional Specialty
Kinesiotherapist
Additional Specialty
Home Delivered Meals
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.