DR. KATHLEEN M. WEBER (NPI# 1285612259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285612259 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN M. WEBER |
| Credential | M.D. |
| Practice Address |
1611 W. Harrison Suite 400 Chicago IL 60612 |
| Mailing Address |
1 Westbrook Corporate Ctr #240 Westchester IL 60154-5701 |
| Practice Telephone | 3124313400 |
| Practice Fax Number | 3129421517 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
036099936 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTIN LOCALITY 16 | 207067 | 01 |
| IL | AETNA ID# | 7785085 | 01 |
| IL | RR MEDICARE PTAN # | DA4902 | 01 |
| IL | BCBS GROUP # | 1633878 | 01 |
| IL | MEDICARE PTAN LOCALITY 15 | 207073 | 01 |
| IL | 036099936 2 | 05 | |
| IL | RR MEDICARE ID# | P00091153 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154569408 | Kathleen Weber | Nurse Practitioner | 29247 Maul Rd # 271, Kiowa, CO 80117-8821 | 2009-01-24 |
| 1699880302 | Kathleen A Weber | Pediatrics | 7200 Smoke Ranch Rd, Ste 150, Las Vegas, NV 89128 | 2006-08-20 |
| 1750837696 | Kathleen Lynn Weber | Pharmacist | 2600 Dodge St, Dubuque, IA 52003-7159 | 2016-08-31 |
| 1407249519 | Kathleen K Weber | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2015-03-13 |
| 1215376983 | Kathleen Weber | Nurse Practitioner | 300 N Maple St, Effingham, IL 62401-2003 | 2013-06-17 |
| 1962776971 | Kathleen Weber | Dietitian, Registered | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2012-03-08 |
| 1881758027 | Kathleen A Weber | Psychologist | 15320 Minnetonka Blvd, #200, Minnetonka, MN 55345 | 2006-12-21 |
| Street Address |
1611 W. HARRISON SUITE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441327 | George B. Holmes | Orthopaedic Surgery | 1611 W. Harrison, Suite 400, Chicago, IL 60612 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922157635 | Stephen Adams | Internal Medicine | 259 E Erie St # 100, Chicago, IL 60611-2930 | 2007-01-10 |
| 1023020989 | Ronald Anthony Hickombottom | Internal Medicine | 728 W Jackson Blvd Apt 306, Chicago, IL 60661-5405 | 2006-08-12 |
| 1275195059 | Sure Work Health Clinic Ltd | Internal Medicine | 830 N Ashland Ave, Chicago, IL 60622-5684 | 2019-07-02 |
| 1386102903 | Sure Work Health Clinic | Internal Medicine | 6222 S Pulaski Rd, Chicago, IL 60629-4610 | 2019-03-04 |
| 1861755035 | Jeremy Alland | Internal Medicine | 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 | 2012-06-21 |
| 1487810842 | Michael Marcus Hanna | Internal Medicine | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2008-08-04 |
| 1437350592 | Balu Natarajan Md Sc | Internal Medicine | 711 W North Ave, Suite 208, Chicago, IL 60610-7010 | 2007-05-29 |
| 1356400600 | Illinois Bone and Joint Instit | Internal Medicine | 680 N Lake Shore Dr, Suite 1028, Chicago, IL 60611-4546 | 2006-12-06 |
| 1033104955 | Cynthia Labella | Internal Medicine | 225 E Chicago Ave # 69, Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659874261 | Relive Physician Services LLC | Internal Medicine | 333 Waukegan Rd Ste G, Glenview, IL 60025-5122 | 2018-03-10 |
| 1003171596 | Midamerica Orthopaedics, S.c. | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2012-07-10 |
| 1528255049 | Naveed H Elahi Dc Sc | Internal Medicine | 1037 E Woodfield Rd, Schaumburg, IL 60173-4706 | 2007-09-28 |
| 1245359041 | Michael Phillip Fragen | Internal Medicine | 1615 S Norbury Ave, Lombard, IL 60148-6182 | 2007-03-29 |
| 1235557877 | Angelo M. Savino | Internal Medicine | 720 Florsheim Dr, Libertyville, IL 60048 | 2014-04-01 |
| 1912324567 | Chicago Hand and Orthopedic Surgery Centers Sc | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2014-03-20 |
| 1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
| 1912211202 | Oa Associates, LLC | Internal Medicine | 4700 Memorial Drive, Ste. 350, Belleville, IL 62226 | 2010-07-29 |
| 1710213673 | Bromenn Physician Management Corporation | Internal Medicine | 2406 E Empire St, Bloomington, IL 61704-3630 | 2009-10-28 |
| 1730290198 | James T John | Internal Medicine | 545 Plainfield Rd, Ste., B, Willowbrook, IL 60527-7600 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.