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1992420822
MICHAEL T WEISS
CHICAGO, IL
NPI
1992420822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 2022057127)
Enumeration Date
2022-10-04
Last Update Date
2022-10-27
Business Address
MICHAEL T WEISS NP
4927 N WASHTENAW AVE
CHICAGO, IL 60625-7091
Phone number: 630-835-8443
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Mailing Address
MICHAEL T WEISS NP
50 S B B KING BLVD STE 100
MEMPHIS, TN 38103-9802
Phone number: 901-436-1381
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