Individual
DR. JENNIFER I. WEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1285 HARTREY AVE, EVANSTON, IL 60202-1056
(847) 666-3494
(847) 868-8964
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-6228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036130380
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34830500
—
WI
Enumeration date
09/21/2006
Last updated
08/11/2021
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