Individual
MRS. TRACY R WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
1415 E STATE ST, ROCKFORD, IL 61104-2333
(779) 696-4396
(779) 696-5404
Mailing address
1415 E STATE ST, ROCKFORD, IL 61104-2333
(779) 696-4396
(779) 696-5404
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041-334222
IL
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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