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1538262845
JON S WEISBAUM
URBANA, IL
NPI
1538262845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036069097)
Enumeration Date
2006-09-06
Last Update Date
2014-05-16
Business Address
-- JON S WEISBAUM DO
611 W. PARK ST. OB/GYN
URBANA, IL 61801
Phone number: 217-383-3140
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Mailing Address
-- JON S WEISBAUM DO
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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