KELLY WENTLAND

MAYWOOD, IL
NPI1447052105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125086714)
Enumeration Date2025-03-25
Last Update Date2025-06-18
Business Address
KELLY WENTLAND MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
Mailing Address
KELLY WENTLAND MD
1063 N WOOD ST APT 2
CHICAGO, IL 60622-3241
Phone number: 630-484-3135
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