Individual
JOSEPH E. MERRYWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 938-7209
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004697
IL
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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