Individual
JEFFREY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 GRASS LAKE RD, SUITE D, LINDENHURST, IL 60046-5613
(847) 245-3202
(847) 245-3203
Mailing address
2450 GRASS LAKE RD, SUITE D, LINDENHURST, IL 60046-5613
(847) 245-3202
(847) 245-3203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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