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1124600010
DOUGLAS JAMES WEAVER
CHICAGO, IL
NPI
1124600010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 125.077477)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
DOUGLAS JAMES WEAVER
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637-1443
Phone number: 773-834-3531
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Mailing Address
DOUGLAS JAMES WEAVER
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number:
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