Provider Demographics
NPI:1609691740
Name:NAVARRO'S HEALTH & WELLNESS INC
Entity type:Organization
Organization Name:NAVARRO'S HEALTH & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-470-6932
Mailing Address - Street 1:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:NORTH RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-0526
Mailing Address - Country:US
Mailing Address - Phone:312-380-1733
Mailing Address - Fax:833-605-4260
Practice Address - Street 1:2419 WESTOVER AVE
Practice Address - Street 2:
Practice Address - City:NORTH RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1538
Practice Address - Country:US
Practice Address - Phone:312-380-1733
Practice Address - Fax:833-605-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty