Organization
MDMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DEWOLFE APRN (APRN/CO-CEO)
(414) 467-2056
Entity
Organization
Contact information
Practice address
1351 W ROSCOE ST, CHICAGO, IL 60657-0320
(414) 467-2056
Mailing address
1351 W ROSCOE ST, CHICAGO, IL 60657-0320
(414) 467-2056
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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