Individual
KIMBERLY A WEITL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2815 N KIMBALL AVE, 2ND FLOOR, CHICAGO, IL 60618-7520
(773) 278-7995
(773) 278-7995
Mailing address
2815 N KIMBALL AVE, 2ND FLOOR, CHICAGO, IL 60618-7520
(773) 278-7995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007247
IL
Other
Enumeration date
03/23/2012
Last updated
01/10/2014
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