Most Relevant Information
Provider Data
| NPI Number: | 1003530577 |
| Provider Name: | ANNELISE WELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2022 |
| Last Updated: | 09/28/2022 |
Provider Practice Location
2320 E LINCOLN HWY
NEW LENOX
IL
604519533
Practice Location Phone/Fax
| Phone: | 8154750200 |
| Fax: |
Provider Mailing Location
2320 E LINCOLN HWY
NEW LENOX
IL
604519533
Provider Mailing Phone/Fax
| Phone: | 8154750200 |
| Fax: |