Individual
DEBORAH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
5732 N LANSING AVE, CHICAGO, IL 60646-5617
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036066090
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066090
—
IL
01
—
P00196019
MEDICARE RR-GA
IL
Enumeration date
07/12/2006
Last updated
11/13/2008
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