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NPI Code Detail

MEDICARE: EMILY CLAIRE WELLS

MEDICARE: EMILY CLAIRE WELLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.019920IL

General Provider Information

NPI Number : 1235945718
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CLAIRE WELLS
Provider Business Mailing Address
First Line : 3445 W PARKER AVE # 2
Second Line :
City : CHICAGO
State : IL
Zip : 60647-1224
Country : US
Telephone Number : 248-766-4298
Fax Number :
Provider Business Practice Location Address
First Line : 333 SKOKIE BLVD STE 108
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1623
Country : US
Telephone Number : 847-550-6393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 12/02/2025

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Directions to “ EMILY CLAIRE WELLS ” Practice Location

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