MRS. MARY COLLEEN WELLES


Address: 676 N Saint Clair St, Suite 2125, Chicago, IL 60611-2927
Phone: 3129265400

MRS. MARY COLLEEN WELLES (NPI# 1366768764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366768764
Entity Type Individual
Full Name MRS. MARY COLLEEN WELLES
Credential APN
Practice Address 676 N Saint Clair St
Suite 2125
Chicago
IL 60611-2927
Practice Telephone 3129265400
Practice Fax Number 3129268885
Mailing Telephone 3129265400
Mailing Fax Number 3129268885
Enumeration Date 2010-04-12
Last Update Date 2010-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SX0200X Clinical Nurse Specialist
Specialization: Oncology
209.002324 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 676 N SAINT CLAIR ST
SUITE 2125
City CHICAGO
State IL
Zip Code 60611-2927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285637272 Alan Ara Boghosian Dentist 676 N Saint Clair St, Ste 1773, Chicago, IL 60611-2974 2005-05-24
1720542806 Lindsey Lemmen Social Worker 676 N Saint Clair St, Chicago, IL 60611-2927 2019-01-23
1235633652 Spencer Ng Dermatology 676 N Saint Clair St, Chicago, IL 60611 2018-03-20
1285168229 Courtney Sperry Physician Assistant 676 N Saint Clair St, Suite 800, Chicago, IL 60611-2927 2017-04-17
1255872644 Amanda Heepke Nurse Practitioner 676 N Saint Clair St, Suite 2125, Chicago, IL 60611-2927 2017-03-17
1295271088 Roger Stupp Internal Medicine 676 N Saint Clair St, Suite 2210, Chicago, IL 60611-2927 2017-01-17
1356885099 Jessica Mckinley Nurse Practitioner 676 N Saint Clair St, 9-900, Chicago, IL 60611-2927 2016-12-15
1376087239 Sarah Hemphill Social Worker 676 N Saint Clair St, Chicago, IL 60611-2927 2016-12-12
1356885453 Anne Kurze Nurse Practitioner 676 N Saint Clair St, 940, Chicago, IL 60611-2927 2016-12-07
1124562319 Carolyn Chiu Speech-Language Pathologist 676 N Saint Clair St, Suite 1775, Chicago, IL 60611-2927 2016-12-07
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NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
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Taxonomy Information

Taxonomy Code 364SX0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Oncology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497096853 Mary Eileen Callaghan Clinical Nurse Specialist 250 E Superior St, Prentice 14-2226, Chicago, IL 60611-2914 2013-03-11
1902166754 Kimberly Lisa Valachovic Clinical Nurse Specialist 676 N Saint Clair St, Suite 850, Chicago, IL 60611-2927 2012-05-25
1972746238 Barbara Jean Gordon Clinical Nurse Specialist 5841 S Maryland Ave, Mc 5094 Room G-209, Chicago, IL 60637-1447 2009-04-15
1184839656 Maryanne Fishman Clinical Nurse Specialist 676 N Saint Clair St, Stem Cell Transplant Suite 1920, Chicago, IL 60611-2927 2007-05-10
1851518070 Linda Janisch Clinical Nurse Specialist 5841 S Maryland Ave, Mc2115, Chicago, IL 60637-1447 2007-04-19
1114140498 Carol A White Clinical Nurse Specialist 5841 S Maryland Ave, Mc 2115, Chicago, IL 60637-1447 2007-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073714663 Carole Sims Henn Martz Clinical Nurse Specialist 757 Park West, Highland Park Hospital, Highland Park, IL 60035 2007-05-30
1972684066 Valerie Wodzinski Clinical Nurse Specialist 119 Northgate, Riverside, IL 60541 2006-10-17
1124629035 Carla Sue Smith Clinical Nurse Specialist 1005 Broadway St, Quincy, IL 62301-2834 2020-11-06
1346870177 Margaret M Gregus Clinical Nurse Specialist 121 N Elm St, Hinsdale, IL 60521-3765 2020-01-21
1245742949 Jill C Benedeck Clinical Nurse Specialist 4305 W Medical Center Dr, Mchenry, IL 60050-8425 2017-11-02
1215224274 Jacqueline Ann Rohaly-davis Clinical Nurse Specialist 15750 Marian Dr, Homer Glen, IL 60491-6200 2011-06-28
1043449416 Deborah A. Stlaske Clinical Nurse Specialist 4440 W 95th St, Oak Lawn, IL 60453-2600 2009-07-07
1225200702 Mary M Brush Clinical Nurse Specialist 2160 S 1st Ave, Maywood, IL 60153 2008-03-25
1780889626 Joann F Petty Clinical Nurse Specialist 4405 Weaver Pkwy, Warrenville, IL 60555-3269 2007-06-20
1245434851 Rosemarie Batiste Clinical Nurse Specialist 120 Spalding Dr, Ste 111, Naperville, IL 60540-6766 2007-06-14
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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