JON S WEISBAUM

URBANA, IL
NPI1538262845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  036069097)
Enumeration Date2006-09-06
Last Update Date2014-05-16
Business Address
-- JON S WEISBAUM DO
611 W. PARK ST. OB/GYN
URBANA, IL 61801
Phone number: 217-383-3140
Mailing Address
-- JON S WEISBAUM DO
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792