Individual
KATIE K WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 W CENTRAL RD, SUITE 3800, ARLINGTON HEIGHTS, IL 60005-2369
(847) 483-9800
(847) 483-9808
Mailing address
880W CENTRAL RD 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085003686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003686
STATE LICENSE
IL
Enumeration date
01/22/2010
Last updated
05/25/2021
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