Individual
MRS. MARILYN MARGARITA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2126 MARSTON LN, FLOSSMOOR, IL 60422-1334
(708) 798-2322
Mailing address
2126 MARSTON LANE, FLOSSMOOR, IL 60422-1334
(708) 798-2322
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
041-211924
IL
Other
Enumeration date
11/30/2006
Last updated
04/20/2011
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