Individual
EMMA WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3314 S CICERO AVE UNIT B, CICERO, IL 60804-4531
(708) 391-3030
Mailing address
3314 S CICERO AVE, CICERO, IL 60804-4531
(314) 753-7557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.033718
IL
Other
Enumeration date
11/24/2025
Last updated
12/14/2025
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