Individual
DR. STEPHEN A WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345
Mailing address
1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-002671
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016002671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002671
—
IL
01
—
60000380
BCBS
IL
Enumeration date
07/08/2005
Last updated
07/24/2015
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