Weber, Kathleen M.

Weber, Kathleen M. is an individual health care provider with primary practice located at 1611 W. Harrison Suite 400, Chicago IL 60612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Weber, Kathleen M. can be contacted via phone (312) 431-3400.

Contact Information

Primary practice address
1611 W. Harrison Suite 400 Chicago IL 60612
Phone: (312) 431-3400
Fax: (312) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 036099936 Illinois

Profile Details

NPI number 1285612259
LBN Legal business name Weber, Kathleen M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Nov 20th, 2009 - about 17 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 1285612259 NPPES
Illinois Other 7785085 AETNA ID#
Illinois MEDICAID 036099936 2 AETNA ID#
Illinois Other 207067 AETNA ID#
Illinois Other 207073 AETNA ID#
Illinois Other DA4902 AETNA ID#
Illinois Other P00091153 AETNA ID#
Illinois Other 1633878 AETNA ID#

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