Individual
JEFFREY RYAN WEISHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 GLENWOOD AVE STE LL, JOLIET, IL 60435-5660
(815) 725-1191
Mailing address
2201 GLENWOOD AVE STE LL, JOLIET, IL 60435-5660
(815) 725-1191
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125.073090
IL
Other
Enumeration date
03/25/2018
Last updated
06/12/2023
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