Individual
KENNETH WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, STE 300, WINFIELD, IL 60190
(630) 933-8100
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036107287
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036107287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107287
—
IL
Enumeration date
03/31/2006
Last updated
09/15/2023
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