Individual
DR. JUSTIN ALLAN WELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(886) 600-2273
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(630) 886-1780
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019028612
IL
Other
Enumeration date
02/21/2011
Last updated
04/26/2017
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