| NPI Details | |
|---|---|
| NPI | 1073908901 |
| Gender | Male |
| Enumeration Date | 03/30/2015 |
| Last Updated | 07/27/2015 |
| Entity Type | Individual |
| Active | Over 2 years ago |
| Practice Location | |
|---|---|
| 2160 S 1ST AVE BUILDING 105, SUITE 1814 MAYWOOD IL, 60153-3328, US |
|
| Phone | (888) 584-7888 |
| Fax | (708) 216-5560 |
| Business Location | |
|---|---|
| 2160 S 1ST AVE MAYWOOD IL, 60153-3328, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 390200000X |
| License State | |
| License Number | |
| Remove 1073908901 NPI Number | |
According to our database, Zachary Jordan Weiss NPI is 1073908901, taxonomy code is 390200000X Zachary Jordan Weiss physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Zachary Jordan Weiss has the Individual type.
Sponsored links
1073908901 NPI number is provided on an as is basis without warranty of any kind. 1073908901 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Jordan Weiss are for informational purposes only.
Sponsored links