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Dr. Barry Craig Weaver
Specialist in Bloomington, Illinois
NPI 1609824242

Barry Craig Weaver is a Specialist based in Bloomington, IL. Barry Craig Weaver practices in Bloomington, IL. The NPI Number for Barry Craig Weaver is 1609824242 and holds a License No. 036078523 (Illinois).

The current practice location address for Barry Craig Weaver is 306 Saint Joseph Dr, Bloomington, IL and can be reached out via phone at 309-663-2354 and via fax at 309-662-8602.

Location: 306 Saint Joseph Dr, Bloomington, IL, 61701-3506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609824242
Provider Name
Barry Craig Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
306 Saint Joseph Dr, Bloomington, IL, 61701-3506
Phone Number
309-663-2354
Fax Number
309-662-8602
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036078523 05 IL
institution
Provider Business Practice Location Address Details
Address
306 Saint Joseph Dr
City
Bloomington
State
Illinois
Zip
61701-3506
Phone Number
309-663-2354
Fax Number
309-662-8602
person
Provider Business Mailing Address Details
Address
306 Saint Joseph Dr
City
Bloomington
State
Illinois
Zip
61701-3506
Phone Number
309-663-2354
Fax Number
309-662-8602
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036078523 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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