Individual
CALEB MICHAEL WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 495-1640
Mailing address
900 MAIN ST STE 720, PEORIA, IL 61602-5027
(618) 741-2330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.161081
IL
Other
Enumeration date
03/22/2019
Last updated
08/09/2023
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