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General NPI Number Information
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NPI Number | 1932086154
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Entity Type | Individual
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Provider Name | DYLAN WELCH PT, DPT, OCS
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1026 OGDEN AVE STE 1026
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2812
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Country | US
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Telephone | 630-856-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 N DRAKE AVE APT 2F
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City | CHICAGO
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State | IL
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Zip | 60647-6134
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Country | US
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Telephone | 215-740-8637
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 299184
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 299184
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License Number State | CA
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