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Individual

DR. JACQUELINE DELIA WELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3232 LAKE AVE STE 330, WILMETTE, IL 60091-1085
(224) 266-9410
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036122259
IL
208000000X
Pediatrics Physician
125-051637
IL

Other

Enumeration date
08/08/2008
Last updated
09/21/2022
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