Individual
LAURA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4307 N WINCHESTER AVE, APT 3A, CHICAGO, IL 60613-1031
(917) 363-8856
Mailing address
4307 N WINCHESTER AVE, APT 3A, CHICAGO, IL 60613-1031
(917) 363-8856
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
63393
—
Other
Enumeration date
04/09/2013
Last updated
02/11/2022
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