Individual provider · Type 1 NPI
Stephen Mark Weiss, DC
Chiropractor · Bloomington, IL
NPI number
1407956626
Active
Practice location
409 E Front St
Bloomington, IL 61701-5309
Fax (309) 828-2665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-004679 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
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About NPI 1407956626
Stephen Mark Weiss, DC's National Provider Identifier is 1407956626, issued on Sep 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.