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Organization
WELLCARE HEALTH PLLC
Active
Organization
WELLCARE HEALTH PLLC
Active
Other names
WellCare Health
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEM M SYED SHAH (MANAGER)
(630) 748-9407
Entity
Organization
Contact information
Practice address
2553 W PETERSON AVE, CHICAGO, IL 60659-4019
(773) 784-1025
(773) 784-1056
Mailing address
2553 W PETERSON AVE, CHICAGO, IL 60659-4019
(773) 784-1025
(773) 784-1056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
05/13/2026
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