Individual
LAURA A WEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
430 PENNSYLVANIA AVE STE 330, GLEN ELLYN, IL 60137-4464
(630) 348-3620
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 348-3620
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001307
IL
Other
Enumeration date
06/09/2009
Last updated
01/06/2010
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