Provider Demographics
NPI:1306089826
Name:BARTELL HEALTH AND WELLNESS CENTERS, LTD
Entity type:Organization
Organization Name:BARTELL HEALTH AND WELLNESS CENTERS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-205-9000
Mailing Address - Street 1:13242 S ROUTE 59
Mailing Address - Street 2:STE 202
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5428
Mailing Address - Country:US
Mailing Address - Phone:815-254-7599
Mailing Address - Fax:815-254-3603
Practice Address - Street 1:13242 S ROUTE 59
Practice Address - Street 2:STE 202
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5428
Practice Address - Country:US
Practice Address - Phone:815-254-7599
Practice Address - Fax:815-254-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-007339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty