Individual
DYLAN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1701 W. CURTIS RD., CHAMPAIGN, IL 61822-9678
(217) 365-6207
(217) 365-6380
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014064
IL
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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