Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036.145939 | IL |
N | 2081S0010X | Sports Medicine | BP10060307 | TX |
N | 213ES0000X | Sports Medicine | BP10060307 | TX |
NPI | 1467895813 |
---|---|
Provider Name | Rachel Welbel |
First Address | Oak Lawn, IL 60453-2659 |
Second Address | Oak Lawn, IL 60453-2659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2013 |
Last Update Date | 06/12/2021 |