Individual
JENNIFER D. WEIRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
199 W. RAND ROAD, MOUNT PROSPECT, IL 60056
(847) 618-5450
(847) 618-5459
Mailing address
199 W. RAND ROAD, MOUNT PROSPECT, IL 60056
(847) 618-5450
(847) 618-5459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005639
IL
363A00000X
Physician Assistant
PA2014-0077
NM
Other
Enumeration date
10/22/2014
Last updated
08/11/2023
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