Individual
ANGELA D WUEBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08220357
BCBS GRP#
IL
01
—
7894268
AETNA
IL
01
—
P00110675
MEDICARE RAILROAD
IL
Enumeration date
06/22/2005
Last updated
01/08/2008
Update your record
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