Individual
ALLEN WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47W635 BEITH RD, MAPLE PARK, IL 60151-8802
(630) 365-5550
Mailing address
1773 CHARLES WAITE ST, SYCAMORE, IL 60178-8700
(815) 991-5658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180006825
IL
106H00000X
Marriage & Family Therapist
Primary
166000686
IL
Other
Enumeration date
01/16/2007
Last updated
08/02/2011
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