Individual
COREY WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S CALIFORNIA AVE STE 1, CHICAGO, IL 60608-1694
(773) 565-3008
(773) 522-5855
Mailing address
1 HOSPITAL DR # DC043.00, COLUMBIA, MO 65212-1000
(573) 884-1606
(573) 884-4533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020017706
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125078145
IL
Other
Enumeration date
06/25/2020
Last updated
06/25/2021
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