Individual
JULIE WEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 N HALSTED ST, SUITE 611, CHICAGO, IL 60657-5188
(773) 296-3900
(773) 296-3901
Mailing address
3000 N HALSTED ST, SUITE 611, CHICAGO, IL 60657-5188
(773) 296-3900
(773) 296-3901
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
36072816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36072816
—
IL
01
—
L99841
MEDICARE
IL
Enumeration date
02/14/2006
Last updated
05/18/2012
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