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Organization
WELLBE SENIOR MEDICAL ILLINOIS PC
Active
Organization
WELLBE SENIOR MEDICAL ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYAD G. HOUSHAN (PRESIDENT)
(312) 776-2415
Entity
Organization
Contact information
Practice address
550 WARRENVILLE RD STE 300, LISLE, IL 60532-4311
(855) 490-5434
Mailing address
225 W WASHINGTON ST STE 1700, CHICAGO, IL 60606-3404
(855) 490-5434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/18/2019
Last updated
09/26/2024
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