Individual
ALLAYNE E WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
509 HAMACHER ST, STE 101, WATERLOO, IL 62298-1592
(618) 939-5555
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018483
IL
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01425606
RR MEDICARE
MO
Enumeration date
06/28/2011
Last updated
12/08/2024
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