Individual
SHARON R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
326 FAIRWAY DR, BLOOMINGTON, IL 61701-3462
(309) 451-9595
(309) 451-9583
Mailing address
326 FAIRWAY DR, BLOOMINGTON, IL 61701-3462
(309) 451-9595
(309) 451-9583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036076443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076443
—
IL
Enumeration date
08/31/2006
Last updated
04/08/2025
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