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Matthew Weirich

NPI 1619241759 · on the registry since 2012

Practice

Address
5300 N Illinois St
Ste 101
Fairview Heights, IL 62208
Phone
(618) 624-9300
Fax
(618) 624-9330
Organisation at this address
Prorehab, Pc
Athletico Ltd
Northland Hearing Center, Inc.
Back & Spine Medical Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225X00000X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois