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General NPI Number Information
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NPI Number | 1750651808
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Entity Type | Individual
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Provider Name | CORTNEY SUE WEIGAND D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 229 W OGDEN AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-3047
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Country | US
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Telephone | 630-447-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 932 N WRIGHT ST STE 152
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City | NAPERVILLE
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State | IL
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Zip | 60563-3601
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Country | US
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Telephone | 630-881-5661
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Fax | 630-225-5086
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012105
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License Number State | IL
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