Zachary Jordan Weiss

NPI 1073908901 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073908901
Gender Male
Enumeration Date 03/30/2015
Last Updated 07/27/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (888) 584-7888
Fax (708) 216-5560
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
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.

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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.