Wellcare Physician Services, Inc.

NPI #1669623575 in Evergreen Park, Illinois

Provider Information

NPI Number: 1669623575
Entity Type: Organization
Organization Name: Wellcare Physician Services, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 9, 2008
Last Updated: Oct 9, 2008

Practice Location

Address: 8905 S FRANCISCO AVE
City: Evergreen Park
State: Illinois
ZIP Code: 60805-1251
Phone: (708) 359-7526

Authorized Official

Name: ENO NSIMA-OBOT, M.D.
Title: OWNER
Phone: (708) 359-7526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Internal Medicine	207R00000X	Primary

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