Individual
JESSICA WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
3524 213TH PL, MATTESON, IL 60443-2545
(630) 747-3150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011704
IL
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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