Organization
WELLGROUP HEALTHPARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT SORRENTINO (SUPERVISOR)
(708) 709-6396
Entity
Organization
Contact information
Practice address
333 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Mailing address
333 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
042001344
IL
207N00000X
Dermatology Physician
042001344
IL
207Q00000X
Family Medicine Physician
042001344
IL
207R00000X
Internal Medicine Physician
042001344
IL
207U00000X
Nuclear Medicine Physician
042001344
IL
207V00000X
Obstetrics & Gynecology Physician
042001344
IL
207W00000X
Ophthalmology Physician
042001344
IL
207X00000X
Orthopaedic Surgery Physician
042001344
IL
207Y00000X
Otolaryngology Physician
042001344
IL
208000000X
Pediatrics Physician
042001344
IL
2084N0400X
Neurology Physician
042001344
IL
2085R0202X
Diagnostic Radiology Physician
042001344
IL
2085U0001X
Diagnostic Ultrasound Physician
042001344
IL
208600000X
Surgery Physician
042001344
IL
208800000X
Urology Physician
Primary
042001344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633874
BLUE CROSS BLUE SHIELF OF ILL DME PROVIDER NUMBER
IL
Enumeration date
07/29/2008
Last updated
07/29/2008
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