Provider Demographics
NPI:1306646229
Name:KNOWING YOU HEALTH & WELLNESS
Entity type:Organization
Organization Name:KNOWING YOU HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:TASHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLENWATER-CATRON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:312-714-3847
Mailing Address - Street 1:3818 216TH PL
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2725
Mailing Address - Country:US
Mailing Address - Phone:312-714-3847
Mailing Address - Fax:708-964-2178
Practice Address - Street 1:3818 216TH PL STE 100
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2725
Practice Address - Country:US
Practice Address - Phone:312-714-3847
Practice Address - Fax:708-964-2178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No252Y00000XAgenciesEarly Intervention Provider Agency