Organization
INDEPENDENT PHYSICIAN GROUP OF ILLINOIS, LLC
Active
Other names
OurClinic @ CNO Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY M WELLS MD (PRESIDENT)
(317) 522-0823
Entity
Organization
Contact information
Practice address
1 AMERICAN SQ STE 2610, INDIANAPOLIS, IN 46282-0004
(866) 434-3255
(866) 422-0915
Mailing address
4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
(866) 434-3255
(866) 422-0915
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
10/15/2018
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