Healthcare Provider Details
I. General information
NPI: 1740122860
Provider Name (Legal Business Name): YIHENG WELCH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/07/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5140 N CALIFORNIA AVE
CHICAGO IL
60625-3645
US
IV. Provider business mailing address
1099 JESSE HARBOR AVE
HENDERSON NV
89014-6832
US
V. Phone/Fax
- Phone: 773-878-8200
- Fax:
- Phone: 858-295-2669
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: