Individual
JOHN C WELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 S. MILWAUKEE AVE, LIBERTYVILLE, IL 60048
(847) 362-6660
(847) 362-6703
Mailing address
800 S. MILWAUKEE AVE, STE 105, LIBERTYVILLE, IL 60048
(847) 362-6660
(847) 362-6703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A14437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19A14437
LICENSE NO
—
Enumeration date
11/13/2008
Last updated
11/13/2008
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