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Organization
ILLINOIS PHYSICIANS WELLNESS GROUP LLC
Active
Organization
ILLINOIS PHYSICIANS WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G REILLY MD (AUTHORIZED OFFICIAL)
(817) 410-3800
Entity
Organization
Contact information
Practice address
625 NORTH MICHIGAN AVENUE, SUITE 1920, CHICAGO, IL 60611
(312) 239-3427
(312) 239-3428
Mailing address
1920 EAST STATE HIGHWAY 114, SOUTHLAKE, TX 76092
(817) 410-3800
(817) 410-6466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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