Individual
MRS. KRISTIN MARY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, FEINBERG 4-508, CHICAGO, IL 60611-2908
(312) 926-4654
Mailing address
251 E HURON ST, FEINBERG 4-508, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.007053041.335990
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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