OrganizationWholistic Health Center Of Oak Park, Inc.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Lake St, Suite 210, Oak Park, IL 60301-1015(708) 848-4188PECOS EnrollmentBased on the most recent information from CMS, provider Wholistic Health Center Of Oak Park, Inc. 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 2 days ago.Profile DetailsProvider ID1639281967Provider TypeOrganizationFull NameWholistic Health Center Of Oak Park, Inc.SubpartNoEnumeration Date8/31/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1100 Lake St, Suite 210, Oak Park, IL 60301-1015Phone(708) 848-4188Fax(708) 524-2142Mailing LocationMailing Address1100 Lake St, Suite 210, Oak Park, IL 60301-1015Phone(708) 848-4188Fax(708) 524-2142Authorized OfficialNameHumowiecki, Stephen Robert (Medical Director)Phone(708) 848-4188Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer