Individual
LEROY NMI WEATHERSBY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17508 E CARRIAGEWAY DRIVE, SUITE A, HAZEL CREST, IL 60429
(708) 206-1181
(708) 206-1060
Mailing address
17508 E CARRIAGEWAY DRIVE, SUITE A, HAZEL CREST, IL 60429
(708) 206-1181
(708) 206-1060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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