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Contact Information

GREGORY A WEAVER, LPTA
520 S MAPLE AVE
OAK PARK, IL60304
 Phone: 708-660-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for GREGORY A WEAVER · (Male)

NPI Number 1639415680
Status Active
Credentials LPTA
Entity Individual
Enumeration date 12/19/2012
Last updated 12/19/2012 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 160.004026
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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