Individual
MR. J. TIMOTHY WEITEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3250
(217) 383-3524
Mailing address
319 E SANGAMON AVE, RANTOUL, IL 61866-2430
(217) 893-4222
(217) 893-3000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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