OrganizationAffinity Family Health And Wellness, PllcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1108 N East St, Olney, IL 62450-2462(618) 429-9470PECOS EnrollmentBased on the most recent information from CMS, provider Affinity Family Health And Wellness, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:15 AM.Profile DetailsProvider ID1568938090Provider TypeOrganizationFull NameAffinity Family Health And Wellness, PllcSubpartNoEnumeration Date10/23/2018Last Updated12/22/2022Contact InformationPractice LocationPractice Address1108 N East St, Olney, IL 62450-2462Phone(618) 429-9470Fax(833) 944-2035Mailing LocationMailing Address1108 N East St, Olney, IL 62450-2462Phone(618) 429-9470Fax(833) 944-2035Authorized OfficialNameBaltzell, Jamee S (Owner)Phone(618) 429-9470Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0001568938090DescriptionMedicaidIssuerUnlistedIllinoisID325765630001DescriptionMedicaidIssuerUnlistedIllinoisID351725028001DescriptionMedicaidIssuerUnlistedIllinois