Iwellmax, LLC

NPI #1821342312 in Park Ridge, Illinois

Provider Information

NPI Number: 1821342312
Entity Type: Organization
Organization Name: Iwellmax, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 1300 HIGGINS RD STE 200
City: Park Ridge
State: Illinois
ZIP Code: 60068-5766
Phone: (773) 321-2611

Authorized Official

Name: DR. JESSE PAUL BUTLER, MD
Title: MANAGER
Phone: (773) 321-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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