# CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thomas J Weigel MD SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407032022
- **Authorized official:** DEBRA SCHAFFER (BILLING MANAGER)
- **Authorized official phone:** (630) 217-7799

## Contact information

- **Practice address:** 2923 N CALIFORNIA AVE, SUITE 230, CHICAGO, IL 60618-4677
- **Practice address phone:** (312) 951-5800
- **Practice address fax:** (312) 951-5816
- **Mailing address:** 2923 N CALIFORNIA AVE, SUITE 230, CHICAGO, IL 60618-4677
- **Mailing address phone:** (312) 951-5800
- **Mailing address fax:** (312) 951-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 042007521 | IL | Yes |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 01/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036072228 | — | IL |
| 05 | — | 036100179 | — | IL |
| 01 | — | 042007521 | STATE LICENSE | IL |