Weyenberg, Lydia

Weyenberg, Lydia is an individual health care provider with primary practice located at 10400 Haligus Rd , Huntley IL 60142-9553. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Weyenberg, Lydia can be contacted via phone (815) 356-2323.

Contact Information

Primary practice address
10400 Haligus Rd Huntley IL 60142-9553
Phone: (815) 356-2323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13305389-1205 Utah
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD61151043 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD61151043 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 68481 Arizona

Profile Details

NPI number 1407381650
LBN Legal business name Weyenberg, Lydia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2017
Last updated May 7th, 2024 - about 2 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 1407381650 NPPES
Arizona Other 68481 ARIZONA MEDICAL BOARD

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