| Wellbe Senior Medical Group Of Missouri Llc | |
|
225 W Washington St Ste 1500 Chicago IL 60606-3485 | |
| (312) 776-2422 | |
| Not Available |
| Full Name | Wellbe Senior Medical Group Of Missouri Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 W Washington St Ste 1500, Chicago, Illinois |
| Authorized Official Name and Position | Jeffrey Kang (CEO) |
| Authorized Official Contact | 3127762415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbe Senior Medical Group Of Missouri Llc 225 W Washington St Ste 1500 Chicago IL 60606-3485 Ph: (312) 776-2422 | Wellbe Senior Medical Group Of Missouri Llc 225 W Washington St Ste 1500 Chicago IL 60606-3485 Ph: (312) 776-2422 |
| NPI Number | 1558018416 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/21/2022 |
| Medicare PECOS PAC ID | 3173910254 |
|---|---|
| Medicare Enrollment ID | O20220419001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558018416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Ling Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710429410 PECOS PAC ID: 8729231261 Enrollment ID: I20220419001736 |
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