Individual
DR. GREGORY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3412 W FULLERTON AVE, CHICAGO, IL 60647-2416
(773) 235-8000
Mailing address
3412 W FULLERTON AVE, CHICAGO, IL 60647-2416
(773) 235-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036069236
IL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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