Individual
WESLEY R HARMSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3232 W 55TH ST, CHICAGO, IL 60632-2638
(773) 434-8026
(773) 434-8107
Mailing address
3232 W 55TH ST, CHICAGO, IL 60632-2638
(773) 434-8026
(773) 434-8107
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036-124934
IL
Other
Enumeration date
08/04/2008
Last updated
10/01/2015
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