Individual
HEATHER H WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8000
(262) 767-8190
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-117404
IL
207Q00000X
Family Medicine Physician
Primary
70511
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117404
—
IL
01
—
04515143
BCBS#
IL
05
—
100086420
—
WI
Enumeration date
04/26/2007
Last updated
03/19/2025
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