NPI | 1508419367 |
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Doing Business As | WELL KEPT ELDER ENTERPRISES, LLC |
Entity Type | Organization |
Authorized Contact | MONICA SHALISE' BUCKNER Owner Physician 773-358-8295 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2019-07-22 |
Last Update Date | 2023-09-04 |