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1952879942
ILLINOIS PHYSICIANS WELLNESS GROUP LLC
CHICAGO, IL
NPI
1952879942
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Entity Type
Organization
Authorized Contact
WILLIAM G REILLY
Authorized Official
817-410-3800
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
ILLINOIS PHYSICIANS WELLNESS GROUP LLC
625 NORTH MICHIGAN AVENUE, SUITE 1920
CHICAGO, IL 60611
Phone number: 312-239-3427
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Mailing Address
ILLINOIS PHYSICIANS WELLNESS GROUP LLC
1920 EAST STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Phone number: 817-410-3800
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