JEFFREY WIELGOS

CHICAGO RIDGE, IL
NPI1538588801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
(Licence: IL  160004013)
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
-- JEFFREY WIELGOS
10300 SOUTHWEST HWY
CHICAGO RIDGE, IL 60415-1426
Phone number: 708-425-1100
Mailing Address
-- JEFFREY WIELGOS
10300 SOUTHWEST HWY
CHICAGO RIDGE, IL 60415-1426
Phone number:
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