Individual
MATTHEW WEYENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(312) 766-4949
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
207RC0001X
IL
208M00000X
Hospitalist Physician
02006194A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2017
Last updated
08/26/2025
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