| Wendy Welter Pllc | |
|
1100 Beech St Bldg 7-6 Normal IL 61761-1534 | |
| (309) 838-7018 | |
| Not Available |
| Full Name | Wendy Welter Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 Beech St Bldg 7-6, Normal, Illinois |
| Authorized Official Name and Position | Wendy Welter (OWNER, SERVICE PROVIDER) |
| Authorized Official Contact | 3098387018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Welter Pllc 107 Meadow Dr Lexington IL 61753-9105 Ph: (309) 838-7018 | Wendy Welter Pllc 1100 Beech St Bldg 7-6 Normal IL 61761-1534 Ph: (309) 838-7018 |
| NPI Number | 1700603735 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700603735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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