Individual
MARIA WEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 SILVER CROSS BLVD, SUITE 210, NEW LENOX, IL 60451-9524
(815) 463-3000
Mailing address
1890 SILVER CROSS BLVD, SUITE 210, NEW LENOX, IL 60451-9524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005493
IL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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