MEDICARE: BARBARA C WEINER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	178.009813	IL

General Provider Information

NPI Number	:	1740865096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA C WEINER

Provider Business Mailing Address
First Line	:	3131 HILL LN
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-2928
Country	:	US
Telephone Number	:	847-372-7489
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 EXECUTIVE DR STE 429
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-8112
Country	:	US
Telephone Number	:	847-372-7489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	03/17/2021

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Directions to “ BARBARA C WEINER ” Practice Location

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