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NPI Code Detail

MEDICARE: ELEANORE WHELAN DNP

MEDICARE:   ELEANORE  WHELAN  DNP
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
1207R00000XInternal Medicine Physician209.017386IL

General Provider Information

NPI Number : 1275037319
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANORE WHELAN DNP
Provider Business Mailing Address
First Line : 2113 N KEDZIE BLVD UNIT B
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2741
Country : US
Telephone Number : 248-924-0689
Fax Number :
Provider Business Practice Location Address
First Line : 3219 W CARROLL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60624-2031
Country : US
Telephone Number : 872-588-3580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 03/22/2018

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Directions to “ ELEANORE WHELAN DNP” Practice Location

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