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1366798746
TANYA R WELLS
CHICAGO, IL
NPI
1366798746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009660)
Enumeration Date
2012-08-03
Last Update Date
2022-10-24
Business Address
TANYA R WELLS
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
TANYA R WELLS
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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