Individual
SOPHIA E WELYKYJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7234 OGDEN AVE, SUITE 1S, RIVERSIDE, IL 60546-2387
(708) 783-2970
(708) 783-2973
Mailing address
7234 OGDEN AVE, SUITE 1S, RIVERSIDE, IL 60546-2387
(708) 783-2970
(708) 783-2973
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036069455
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069455
—
IL
Enumeration date
08/04/2006
Last updated
11/04/2011
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