Individual
DR. TERRANCE WEEDEN X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1645 W JACKSON BLVD STE 200, CHICAGO, IL 60612-3227
(312) 942-3034
Mailing address
1645 W JACKSON BLVD STE 200, CHICAGO, IL 60612-3227
(312) 942-3034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-152951
IL
2080A0000X
Pediatric Adolescent Medicine Physician
036.152951
IL
282NC2000X
Children's Hospital
—
—
Other
Enumeration date
03/28/2017
Last updated
04/13/2026
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