Individual
CHRISTINA DENISE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7131 S JEFFERY BLVD, CHICAGO, IL 60649-2191
(773) 256-0526
(312) 363-5794
Mailing address
2045 W WASHINGTON BLVD, CHICAGO, IL 60612-2428
(312) 413-1789
(312) 413-7812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121469
IL
Other
Enumeration date
05/16/2007
Last updated
04/26/2013
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