DOUGLAS JAMES WEAVER

CHICAGO, IL
NPI1124600010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  125.077477)
Enumeration Date2021-04-21
Last Update Date2021-04-21
Business Address
DOUGLAS JAMES WEAVER
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637-1443
Phone number: 773-834-3531
Mailing Address
DOUGLAS JAMES WEAVER
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: