TABATHA SELINA WELLS

URBANA, IL
NPI1992933923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-129167)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036.129167)
Enumeration Date2009-06-29
Last Update Date2021-02-01
Business Address
TABATHA SELINA WELLS MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3170
Mailing Address
TABATHA SELINA WELLS MD
611 W PARK ST FAPC
URBANA, IL 61801
Phone number: