Weber, Lisa M

Weber, Lisa M is an individual health care provider with primary practice located at 2300 Children'S Plaza , Chicago IL 60614. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Weber, Lisa M can be contacted via phone (773) 880-3603.

Contact Information

Primary practice address
2300 Children'S Plaza Chicago IL 60614
Phone: (773) 880-3603
Fax: (773) 880-6618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002299A Indiana

Profile Details

NPI number 1326024241
LBN Legal business name Weber, Lisa M
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 10th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326024241 NPPES
Indiana MEDICAID 200398370

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