Welch, Mary Jane

Welch, Mary Jane is an individual health care provider with primary practice located at 2150 W Harrison St , Chicago IL 60612-3706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Welch, Mary Jane can be contacted via phone (312) 942-3112.

Contact Information

Primary practice address
2150 W Harrison St Chicago IL 60612-3706
Phone: (312) 942-3112
Fax: (312) 942-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 209-002406 Illinois

Profile Details

NPI number 1073801189
LBN Legal business name Welch, Mary Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Jul 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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