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General NPI Number Information
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NPI Number | 1093343485
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Entity Type | Individual
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Provider Name | MITCHELL CHRISTOPHER WEAVER DO
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 9650 GROSS POINT RD STE 2900
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City | SKOKIE
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State | IL
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Zip | 60076-5006
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Country | US
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Telephone | 847-866-7846
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Fax | 224-251-2905
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-570-2040
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Fax | 847-570-5315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036165728
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 036165728
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License Number State | IL
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