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Individual

ROBERT WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3646 W 139TH STREET, ROBBINS, IL 60472
(773) 663-2653
Mailing address
3646 W 139TH PL, ROBBINS, IL 60472-1949
(773) 663-2653

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
IL

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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