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Individual

PEGGY LOU WEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4201 W VICTORIA ST, CHICAGO, IL 60646-6700
(312) 613-1264
Mailing address
4201 W VICTORIA ST, CHICAGO, IL 60646-6700
(312) 613-1264

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
041164425
IL

Other

Enumeration date
02/15/2021
Last updated
02/15/2021
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