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Individual

JILL WEBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1415 E STATE ST STE 800, ROCKFORD, IL 61104
(779) 696-9120
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209002323
IL

Other

Enumeration date
11/25/2005
Last updated
02/18/2021
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