Individual
JASON WENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2835 N SHEFFIELD AVE STE 301, CHICAGO, IL 60657-5084
(773) 472-3663
(773) 472-3668
Mailing address
1S376 SUMMIT AVE, CRT E, OAKBROOK TERRACE, IL 60181-3985
(630) 705-4092
(630) 424-0467
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000280
IL
224P00000X
Prosthetist
Primary
211.000213
IL
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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