Individual
DR. DARA M WEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
600 DAVIS ST, SUITE 3E, EVANSTON, IL 60201-4488
(312) 458-9258
(847) 328-4838
Mailing address
1757 N PAULINA ST, UNIT F, CHICAGO, IL 60622-1157
(773) 384-5310
(847) 328-4838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634495
BCBS OF IL
IL
Enumeration date
08/03/2006
Last updated
07/08/2007
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