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General NPI Number Information
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NPI Number | 1528851896
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Entity Type | Organization
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Legal Business Name | WELLBRIDGE CLINICAL GROUP PLLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 675 N NORTH CT STE 310
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City | PALATINE
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State | IL
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Zip | 60067-8106
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Country | US
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Telephone | 847-721-0984
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Fax | 646-777-1038
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Provider Business Mailing Address
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Address Line | 830 W IL ROUTE 22 # 135
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2560
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Country | US
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Telephone | 847-721-0984
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Fax | 646-777-1038
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Authorized Official
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Title or Position | OWNER
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Name | JING LIANG
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Credential | MD
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Telephone | 847-721-0984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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