# DR. CORINNA ELISABETH SOPHIE WECKERLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083771711
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-116309 | IL | — |
| 207RR0500X | Rheumatology Physician | 036116309 | IL | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 04/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036116309 | — | IL |
| 01 | — | 920540 | MEDICARE PTAN (GROUP) | — |
| 01 | — | 920540010 | MEDICARE PTAN (INDIVIDUAL) | — |
| 01 | — | CE8792 | RAILROAD MEDICARE PTAN (GROUP) | IL |
| 01 | — | P01090240 | RAILROAD MEDICARE PTAN (INDIVIDUAL) | IL |