Individual
MARY E WEIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
6415 STANLEY, BERWYN, IL 60402
(708) 788-0511
(708) 788-0831
Mailing address
8743 S KOLIN AVE, HOMETOWN, IL 60456
(708) 346-0463
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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