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Individual

BENJAMIN WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, MPH

Contact information

Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
Mailing address
5009 N SHERIDAN RD APT 506, CHICAGO, IL 60640-1787

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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