Organization
PEDIATRIC HEALTHCARE UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHIE R WUELLNER MD (OWNER/PRESIDENT)
(618) 474-1711
Entity
Organization
Contact information
Practice address
4 MEMORIAL DR., STE. 110, ALTON, IL 62002
(618) 474-1711
(618) 474-2793
Mailing address
4 MEMORIAL DR., STE. 110, ALTON, IL 62002
(618) 474-1711
(618) 474-2793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801561640000
—
IL
Enumeration date
12/14/2006
Last updated
07/26/2018
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