| Wellcare Physician Services, Inc. | |
|
8905 S Francisco Ave Evergreen Park IL 60805-1251 | |
| (708) 359-7526 | |
| Not Available |
| Full Name | Wellcare Physician Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8905 S Francisco Ave, Evergreen Park, Illinois |
| Authorized Official Name and Position | Eno Nsima-obot (OWNER) |
| Authorized Official Contact | 7083597526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcare Physician Services, Inc. 8905 S Francisco Ave Evergreen Park IL 60805-1251 Ph: (708) 359-7526 | Wellcare Physician Services, Inc. 8905 S Francisco Ave Evergreen Park IL 60805-1251 Ph: (708) 359-7526 |
| NPI Number | 1669623575 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669623575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036099035 (Illinois) | Primary |
| 208600000X | Surgery | 336059478 (Illinois) | Secondary |
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