Individual
JAMIE KAYE WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4655 N ELSTON AVE, CHICAGO, IL 60630-4216
(773) 685-3288
(773) 685-7748
Mailing address
4655 N ELSTON AVE, CHICAGO, IL 60630-4216
(773) 685-3288
(773) 685-7748
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R211084
MD
363LP0200X
Pediatric Nurse Practitioner
0024174289
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
209020734
IL
363LP0200X
Pediatric Nurse Practitioner
R211084
MD
Other
Enumeration date
10/01/2013
Last updated
09/21/2020
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