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

CLEAR RIDGE WELLNESS CENTER LTD.

Active Organization

CLEAR RIDGE WELLNESS CENTER LTD. is a Primary Care Clinic organization located in CHICAGO, Illinois. NPI 1174803878 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · CHICAGO, IL

Registration Details

NPI Number
1174803878
Provider Type
Organization
NPI Issued
Aug 25, 2011 (15.004739096062 yrs)
Last Updated
Feb 13, 2012
Licenses
041.283154 (IL)
209.008667 (IL)

Practice Information

Address
6745 W 63RD ST
CHICAGO, IL, 606384003
Browse IL providers · Browse ZIP 60638
Phone
7732298545
Fax
7732298545
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic
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.