Peggy Lou Weder, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

041164425 Issued in IL

Practice address

4201 W Victoria St
Chicago, IL 60646-6700

Phone

(312) 613-1264

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1376136994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W VICTORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466700",
            "telephone_number": "312-613-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W VICTORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466700",
            "telephone_number": "312-613-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDER",
        "first_name": "PEGGY",
        "middle_name": "LOU",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IL",
            "license": "041164425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Faye Wecht, MD
• David T Wechter, M.D.
• Julie Sara Wecsler, M.D.
• Neena Weddington
• Todd Andrew Wedel, OD
• Stephanie Marie Wedlake, APN
• Jia Yin Wee, M.ED., LCPC
• Angela Marie Weeden, MSW
• Terrance Weeden X, DO
• Jennifer Week, LCSW

• Gerontology Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Gerontology Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.