JEFFREY A. WELLER

CHICAGO, IL
NPI1497819023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19020147)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- JEFFREY A. WELLER D.D.S.
1050 N STATE ST MEZZANINE LEVEL
CHICAGO, IL 60610-7829
Phone number: 312-654-0606
Mailing Address
-- JEFFREY A. WELLER D.D.S.
1050 N STATE ST MEZZANINE LEVEL
CHICAGO, IL 60610-7829
Phone number: 312-654-0606
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