MEDICARE: JASON WELSCH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085-003554	IL

General Provider Information

NPI Number	:	1942432380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON WELSCH PA

Provider Business Mailing Address
First Line	:	PO BOX 713260
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-1260
Country	:	US
Telephone Number	:	630-469-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 E 9TH ST
Second Line	:
City	:	LOCKPORT
State	:	IL
Zip	:	60441-2404
Country	:	US
Telephone Number	:	630-967-2225
Fax Number	:	630-428-3971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2009
Last Update Date	:	01/05/2024

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Directions to “ JASON WELSCH PA” Practice Location

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