Organization
WELLBE SENIOR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FRASCELLA (CHIEF OF STAFF)
(317) 517-1124
Entity
Organization
Contact information
Practice address
20 W KINZIE ST STE 17, CHICAGO, IL 60654-6393
(312) 776-2422
Mailing address
20 W KINZIE ST STE 17, CHICAGO, IL 60654-6393
(312) 776-2422
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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