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NPI Code Detail

MEDICARE: WELLCARE ENTERPRISES LLC

MEDICARE: WELLCARE ENTERPRISES LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1326836412
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLCARE ENTERPRISES LLC
Provider Business Mailing Address
First Line : 122 S MICHIGAN AVE STE 1390
Second Line :
City : CHICAGO
State : IL
Zip : 60603-6036
Country : US
Telephone Number : 630-780-2385
Fax Number : 630-780-2387
Provider Business Practice Location Address
First Line : 122 S MICHIGAN AVE STE 1390
Second Line :
City : CHICAGO
State : IL
Zip : 60603-6036
Country : US
Telephone Number : 630-780-2385
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BRIANA WASHINGTON
Credential :
Telephone Number : 630-780-2385
Provider Enumeration Date : 04/28/2025
Last Update Date : 04/30/2025

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Directions to “WELLCARE ENTERPRISES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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