Individual
MR. JERIMIE JAY WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
928 W ROSCOE ST, 3, CHICAGO, IL 60657-2309
(312) 612-9355
Mailing address
928 W ROSCOE ST, 3, CHICAGO, IL 60657-2309
(312) 612-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013022
IL
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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