Provider Demographics
NPI:1962979567
Name:FROM PAIN TO WELLNESS, LLC
Entity type:Organization
Organization Name:FROM PAIN TO WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:GRUFT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-862-6228
Mailing Address - Street 1:1 TRANSAM PLAZA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4286
Mailing Address - Country:US
Mailing Address - Phone:630-627-7500
Mailing Address - Fax:630-627-7502
Practice Address - Street 1:1 TRANSAM PLAZA DR STE 110
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4820
Practice Address - Country:US
Practice Address - Phone:630-627-4374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory