Provider Demographics
NPI:1992041941
Name:DK WELLNESS INC
Entity type:Organization
Organization Name:DK WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC CPMA
Authorized Official - Phone:630-261-9286
Mailing Address - Street 1:1523 ESSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-2879
Mailing Address - Country:US
Mailing Address - Phone:815-730-3750
Mailing Address - Fax:815-846-6210
Practice Address - Street 1:1523 ESSINGTON RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-2879
Practice Address - Country:US
Practice Address - Phone:815-730-3750
Practice Address - Fax:815-846-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service