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 1 year 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
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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.