Individual
MISS KALANI RAQUEL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11824 SOUTHWEST HWY, STE 100, PALOS HEIGHTS, IL 60463-1055
(708) 361-0222
(708) 361-4536
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.001986
IL
363LA2100X
Acute Care Nurse Practitioner
209009509
IL
Other
Enumeration date
04/18/2012
Last updated
05/23/2025
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