OrganizationActive
360 Wellness
NPI 1629604277 · Professional Counselor · Shorewood, IL
Provider details
- NPI number
- 1629604277
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Parent organization
- Elite Fitness Training Studio, Inc.
- Authorized official
- Dawn Siesener, Owner/Personal Trainer
Practice location
700 W Jefferson St Ste 2
Shorewood, IL 60404-7603
Phone: (815) 530-4397
Mailing address
700 W Jefferson St Ste 2
Shorewood, IL 60404-7603
Registry dates
- Enumerated
- 2020-03-16
- Last updated
- 2023-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.