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1346543782
JEREMY CARTER WELCH
HAZEL CREST, IL
NPI
1346543782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005552)
Enumeration Date
2010-12-07
Last Update Date
2021-01-21
Business Address
Mr. JEREMY CARTER WELCH P.T.A.
17800 KEDZIE AVE
HAZEL CREST, IL 60429-2029
Phone number: 708-213-3825
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Mailing Address
Mr. JEREMY CARTER WELCH P.T.A.
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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