Jason Welsch, PA
Individual provider Active NPI Physician Assistant · Lockport, IL
NPI 1942432380 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1942432380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-003554 (IL)
- Practice address
- 1206 E 9TH St
Lockport, IL 60441-2404 - Phone
- (630) 967-2225
- Fax
- (630) 428-3971
- NPI assigned
- Aug 19, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
1206 E 9TH St
Lockport, IL 60441-2404
Phone (630) 957-3462
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (888) 385-9669
1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200
1801 S Highland Ave
Lombard, IL 60148-4932
Phone (630) 627-4722
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Uchicago Medicine Adventhealth Hinsdale
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100104000129 | IL | Practitioner - Physician Assistant | 3274674981 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003554 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute, LLC | Current |
Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
716 Florsheim Dr
Libertyville, IL 60048
Phone (847) 918-9077
1206 E 9th St
Lockport, IL 60441
Phone (708) 406-3328
1209 E 9th St
Lockport, IL 60441
1801 S Highland Ave
Ste 220
Lombard, IL 60148
Phone (630) 873-8700
303 W Ogden Ave
Fl 2
Westmont, IL 60559
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- jason.welsch.p1@direct.parkviewortho.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-003554 | IL | Yes |
Addresses
Primary practice location
1206 E 9TH St
Lockport, IL 60441-2404
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
12701 W 143rd St
Suite 200
Homer Glen, IL 60491-7715
Phone (877) 694-7722
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwelsch265701@dulyhealthandcare.direct-ci.com | Direct |
Other providers in Lockport, IL
- Way to Play Therapy LLC
- We Care Enterprise LLC
- Karen Hilja Weaver
- Makayla Webber
- Kristin Weitzel
- Elizabeth E Wernsman
- Sharon Wieczorek
- Sabina Wielgus
- Karen Ellen Wiemer X
- Will County SCHL Dist 92
All providers in Lockport, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.