Healthcare Provider Details

I. General information

NPI: 1891608485
Provider Name (Legal Business Name): KARLA WEINER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 FOXFIELD RD STE 100
SAINT CHARLES IL
60174-1402
US

IV. Provider business mailing address

2075 FOXFIELD RD STE 100
SAINT CHARLES IL
60174-1402
US

V. Phone/Fax

Practice location:
  • Phone: 888-829-3025
  • Fax: 224-325-3225
Mailing address:
  • Phone: 888-829-3025
  • Fax: 224-325-3225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041220864
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: