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Individual

DR. JIMMIE E. WEATHERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3805 E. MAIN ST, SUITE G, ST CHARLES, IL 60174-5799
(630) 762-9444
(630) 762-8280
Mailing address
3805 E MAIN ST, SUITE G, ST CHARLES, IL 60174-5799
(630) 762-9444
(630) 762-8280

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038-008093
IL

Other

Enumeration date
02/15/2007
Last updated
06/01/2012
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