Individual
TAYLOR WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 W NORTH AVE, MELROSE PARK, IL 60160-1612
(888) 584-7888
Mailing address
719 W NORTH AVE, MELROSE PARK, IL 60160-1612
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007897
IL
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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