Organization
IWELLMAX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE PAUL BUTLER MD (MANAGER)
(773) 321-2611
Entity
Organization
Contact information
Practice address
1300 HIGGINS RD STE 200, PARK RIDGE, IL 60068-5766
(773) 321-2611
(773) 321-2811
Mailing address
1300 HIGGINS RD STE 200, PARK RIDGE, IL 60068-5766
(773) 321-2611
(773) 321-2811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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