Individual
MARY ELLEN WEEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
1850 SILVER CROSS BLVD, NEW LENOX, IL 60451-9508
(815) 300-5783
(815) 485-4830
Mailing address
1850 SILVER CROSS BLVD, NEW LENOX, IL 60451-9508
(815) 300-5783
(815) 485-4830
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
309.021859
IL
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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