Individual
MRS. MARY COLLEEN WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 2125, CHICAGO, IL 60611-2927
(312) 926-5400
(312) 926-8885
Mailing address
676 N SAINT CLAIR ST, SUITE 2125, CHICAGO, IL 60611-2927
(312) 926-5400
(312) 926-8885
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
209.002324
IL
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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