NPI | 1982020343 |
---|---|
Other Name | OURCLINIC @ CNO CHICAGO |
Entity Type | Organization |
Authorized Contact | JEFFERY M WELLS MD President 317-522-0823 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2014-03-10 |
Last Update Date | 2018-10-15 |