Individual
DR. KATHLEEN M. WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 W. HARRISON, SUITE 400, CHICAGO, IL 60612
(312) 431-3400
(312) 942-1517
Mailing address
1 WESTBROOK CORPORATE CTR, #240, WESTCHESTER, IL 60154-5701
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
036099936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099936 2
—
IL
01
—
1633878
BCBS GROUP #
IL
01
—
207067
MEDICARE PTIN LOCALITY 16
IL
01
—
207073
MEDICARE PTAN LOCALITY 15
IL
01
—
7785085
AETNA ID#
IL
01
—
DA4902
RR MEDICARE PTAN #
IL
01
—
P00091153
RR MEDICARE ID#
IL
Enumeration date
01/09/2006
Last updated
11/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us