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Organization

CARL M. WAHLSTROM, JR., M.D., LIMITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL M WAHLSTROM JR. M.D. (PRESIDENT)
(312) 782-7895
Entity
Organization

Contact information

Practice address
307 N MICHIGAN AVE, SUITE 1008, CHICAGO, IL 60601-5311
(312) 782-7895
(312) 782-7897
Mailing address
307 N MICHIGAN AVE, SUITE 1008, CHICAGO, IL 60601-5311
(312) 782-7895
(312) 782-7897

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
IL

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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