Individual
BARBARA LUANN WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 661-5050
Mailing address
216 S EAST ST, CLINTON, IL 61727-2021
(217) 671-4932
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
209.017862
IL
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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