Individual
BRIAN WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 RAVINE WAY, SUITE 200, GLENVIEW, IL 60025-7645
(847) 998-5680
(847) 998-6365
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-133355
IL
Other
Enumeration date
08/18/2008
Last updated
07/29/2015
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