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Individual

AMY S WEILER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1945 W WILSON AVE, SUITE 6106, CHICAGO, IL 60640-5255
(773) 784-7000
(773) 784-7190
Mailing address
1945 W WILSON AVE, SUITE 6106, CHICAGO, IL 60640-5255
(773) 784-7000
(773) 784-7190

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036117858
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036117858
STATE LICENSE
IL
Enumeration date
09/07/2007
Last updated
10/22/2010
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