Wh Il Medical PLLC
General Practice in Chicago, IL. Organization (NPI-2).
NPI number1336748367
StatusActive
Last updated in NPPESJan 29, 2021
Details
- NPI
- 1336748367
- Entity type
- Organization (NPI-2)
- Legal business name
- Wh Il Medical PLLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Jan 12, 2021
- Last updated
- Jan 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 104100000X | Social Worker | – | – | |
| 231H00000X | Audiologist | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Walmart Health (Doing Business As)
Practice location
1715 N. Kilpatrick Ave.Chicago, IL 60639
Phone 773-687-6041 · Fax 773-276-7564
Mailing address
702 Sw 8th St # Ms 0445Bentonville, AR 72716-0445
Phone 479-204-1258 · Fax 479-277-4331
Other practice locations
8410 S. Holland Rd.
Chicago, IL 60620
Chicago, IL 60620
Phone 773-420-1272 · Fax 773-783-8817
Authorized official
Soujanya Pulluru
Owner
4792772500
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