Individual
DONATUS F WEITHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 HOBSON ROAD, SUITE 204, NAPERVILLE, IL 60540
(630) 416-7766
(630) 416-8899
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36107580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107580
—
IL
01
—
P00461419
RAILROAD MEDICARE
IL
Enumeration date
11/28/2006
Last updated
06/15/2022
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