Five Phase Wellness Center, LLC

Acupuncturist · Evanston, IL

Organization Active NPI

NPI number 1265726178

Practice location

708 Main St
Evanston, IL 60202-1702
Phone
(847) 905-0440

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NPI record

NPI
1265726178
Entity type
Organization (Type 2)
Enumeration date
June 8, 2011
Last updated
June 8, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X 198000495 IL

Authorized official

Name
Dr. Ryan Lombardo, DAOM
Title
Wellness Director
Phone
(847) 905-0440

About Five Phase Wellness Center, LLC

Five Phase Wellness Center, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 708 Main St, Evanston, IL 60202-1702. The NPI number 1265726178 was assigned on June 8, 2011 and the record was last updated on June 8, 2011.

Five Phase Wellness Center, LLC lists a license in the registry: #198000495 (IL) for Acupuncturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ryan Lombardo, DAOM, Wellness Director.

Frequently asked questions

What is the NPI number of Five Phase Wellness Center, LLC?

The NPI number is 1265726178.

What is the phone number of Five Phase Wellness Center, LLC?

The phone number listed for the practice location is (847) 905-0440.

Where is Five Phase Wellness Center, LLC located?

708 Main St, Evanston, IL 60202-1702.

What is the taxonomy code for Five Phase Wellness Center, LLC?

The primary taxonomy code is 171100000X – Acupuncturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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