Individual
ELIZABETH WEAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 S KEDZIE AVE, CHICAGO, IL 60632-2814
(773) 523-2416
Mailing address
4455 S KEDZIE AVE, CHICAGO, IL 60632-2814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021016
IL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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