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NPI Code Detail

MEDICARE: ANTHONY J WESTON MD

MEDICARE:   ANTHONY J WESTON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036136772IL

General Provider Information

NPI Number : 1356653570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY J WESTON MD
Provider Business Mailing Address
First Line : 2507 N RICHMOND RD
Second Line :
City : MCHENRY
State : IL
Zip : 60051-5407
Country : US
Telephone Number : 815-344-2300
Fax Number : 815-344-8957
Provider Business Practice Location Address
First Line : 2507 N RICHMOND RD
Second Line :
City : MCHENRY
State : IL
Zip : 60051-5407
Country : US
Telephone Number : 815-344-2300
Fax Number : 815-344-8957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2010
Last Update Date : 10/26/2023

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