Provider Demographics
NPI:1215398367
Name:ALP WELLNESS INC
Entity type:Organization
Organization Name:ALP WELLNESS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FORGET-SCHNOWSKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:309-832-4532
Mailing Address - Street 1:4700 N UNIVERSITY ST SPC 65
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-5849
Mailing Address - Country:US
Mailing Address - Phone:309-689-6200
Mailing Address - Fax:309-689-6219
Practice Address - Street 1:4700 N UNIVERSITY ST SPC 65
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-5849
Practice Address - Country:US
Practice Address - Phone:309-689-6200
Practice Address - Fax:309-689-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty