Individual
DR. CORINNA ELISABETH SOPHIE WECKERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27650 FERRY RD STE 201, WARRENVILLE, IL 60555-3845
(630) 933-7400
(630) 315-8979
Mailing address
27650 FERRY RD STE 201, WARRENVILLE, IL 60555-3845
(630) 933-7400
(630) 315-8979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116309
IL
207RR0500X
Rheumatology Physician
Primary
036116309
IL
Other
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
Enumeration date
01/02/2007
Last updated
04/25/2022
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