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IVORY WELLNESS PLLC
NPI 1003640319
Clinic/Center in River Forest, IL

Active since August 28, 2024
400 LATHROP AVE STE 95, RIVER FOREST, IL 60305(708) 724-9255 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivory Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVORY WELLNESS PLLC (NPI 1003640319) is a healthcare organization registered as a clinic/center in River Forest, Illinois and active in the NPI registry since August 2024. The organization lists Vanessa Przybyla, Ownder, as its authorized official.

NPPES Registry Identity

NPI1003640319
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIVORY WELLNESS PLLC
Location Address400 LATHROP AVE STE 95River Forest, IL 60305-1869
Mailing Address400 Lathrop Ave Ste 95River Forest, IL 60305-1869 · (708) 724-9255
Phone(708) 724-9255
Organization SubpartNo
Authorized OfficialVanessa PrzybylaOwnder · (708) 790-1952
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1003640319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
400 LATHROP AVE STE 95, River Forest, IL 60305
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Other Names 2

Other NameIvory Wellness
Other NameIvory Wellness & Aesthetics

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARACELI MENDOZA FNP-BC
Nurse Practitioner
400 LATHROP AVE STE 95
RIVER FOREST, IL 60305
Cook County (708) 724-9255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivory Wellness PLLC's NPI number?

The NPI number for Ivory Wellness PLLC is 1003640319. It was assigned to this organization in the NPPES registry on August 28, 2024. The provider is also known as Ivory Wellness and Ivory Wellness & Aesthetics.

Where is Ivory Wellness PLLC located?

Ivory Wellness PLLC is located at 400 Lathrop Ave Ste 95, River Forest, IL 60305. The listed phone number is (708) 724-9255.

What is Ivory Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ivory Wellness PLLC was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.