Individual
MATTHEW WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N 1ST ST, SUITE D-319, SPRINGFIELD, IL 61702
(217) 545-8863
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-8863
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125074475
IL
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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