Provider Demographics
NPI:1043190440
Name:THRIVE URGENT & WELLNESS CENTER
Entity type:Organization
Organization Name:THRIVE URGENT & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ND
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:331-528-9754
Mailing Address - Street 1:403 W GALENA BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-3948
Mailing Address - Country:US
Mailing Address - Phone:331-258-9754
Mailing Address - Fax:331-301-7359
Practice Address - Street 1:403 W GALENA BLVD STE 109
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3948
Practice Address - Country:US
Practice Address - Phone:773-701-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty