Individual
MS. WEI WEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8190 S CASS AVE, DARIEN, IL 60561-5013
(630) 541-5072
Mailing address
8190 S CASS AVE, DARIEN, IL 60561-5013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005197
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085005197
ILLINOIS STATE LICENSE
IL
Enumeration date
09/07/2014
Last updated
09/07/2014
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