Individual
PETER WEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 S WOOD ST, UIC PSYCHIATRY MC913, CHICAGO, IL 60612-4300
(312) 996-6557
(312) 996-9517
Mailing address
230 E DELAWARE PL, 5W, CHICAGO, IL 60611-5763
(312) 280-5947
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
150916
NY
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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