Individual
ARNAUD JEAN WAUTLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, CHICAGO, IL 60611-5975
(312) 695-8624
Mailing address
2024 W IOWA ST APT 3, CHICAGO, IL 60622-5378
(312) 618-3146
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036159272
IL
207R00000X
Internal Medicine Physician
125.072233
IL
208000000X
Pediatrics Physician
125.072233
IL
Other
Enumeration date
06/04/2018
Last updated
06/27/2022
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