Organization
WELLBE SENIOR MEDICAL OHIO LLC
Active
Other names
WellBe Senior Medical Ohio, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IYAD HOUSHAN MD (CHIEF MEDICAL OFFICER)
(702) 236-2929
Entity
Organization
Contact information
Practice address
6480 ROCKSIDE WOODS BLVD S STE 330, INDEPENDENCE, OH 44131-2222
(312) 776-2410
Mailing address
225 W WASHINGTON ST STE 1700, CHICAGO, IL 60606-3404
(312) 776-2422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
09/26/2024
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