Brigham Tyler Wells, PA-C
NPI #1912735192 in North Chicago, Illinois
Provider Information
- NPI Number
- 1912735192
- Entity Type
- Individual
- Name
- Brigham Tyler Wells, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 3410 ILLINOIS ST
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60088-3120
- Phone
- (224) 610-3886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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