Individual
LISA M WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2300 CHILDREN'S PLAZA, CHICAGO, IL 60614
(773) 880-3603
(773) 880-6618
Mailing address
2300 CHILDREN'S PLAZA, BOX #38, CHICAGO, IL 60614
(773) 880-3603
(773) 880-6618
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002299A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200398370
—
IN
Enumeration date
12/22/2005
Last updated
12/10/2010
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