Individual
AYTEN W WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-3936
(708) 923-8848
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-3936
(708) 923-8848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209001496
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041192912
RN LICENSE
—
01
—
041915
CCNA CERTIFICATION
—
Enumeration date
04/03/2006
Last updated
12/15/2022
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