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Individual

MR. BRIAN JOEL WEINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
8019 RIDGEWAY AVE, SKOKIE, IL 60076-3408
(224) 341-5206
(847) 787-1556
Mailing address
8019 RIDGEWAY AVE, SKOKIE, IL 60076-3408

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209007535
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.007535
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209.007535
NURSE PRACTITIONER
IL
Enumeration date
05/10/2009
Last updated
02/10/2022
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