Weir, Terrie Lynn

Weir, Terrie Lynn is an individual health care provider with primary practice located at 7605 1/2 North Ave , River Forest IL 60305-1133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Weir, Terrie Lynn can be contacted via phone (708) 366-4888.

Contact Information

Primary practice address
7605 1/2 North Ave River Forest IL 60305-1133
Phone: (708) 366-4888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036081633 Illinois

Profile Details

NPI number 1831148808
LBN Legal business name Weir, Terrie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 10th, 2012 - about 13 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 1831148808 NPPES
Other 01635987 BCBS
MEDICAID 036081633 BCBS

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