Individual
TORENCE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5520 LINCOLN AVE, MORTON GROVE, IL 60053-3416
(847) 583-9800
Mailing address
2408 N KILBOURN AVE, APT 2, CHICAGO, IL 60639-1910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004423
IL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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