NPIMap

Organization Active NPI

Daniel T Weber MD SC

  • Durable Medical Equipment & Medical Supplies
  • Tinley Park, IL
National Provider Identifier
1467638023
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
036104452 Issued in IL
Legal business name
DANIEL T WEBER MD SC
Practice address
6850 Centennial Dr
Tinley Park, IL 60477-1653
Phone
(708) 429-3455
Fax
(708) 429-3422
NPI assigned
Jan 14, 2008
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Kristin Gear
Title
Practice Manager
Phone
(708) 429-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 036104452 IL Primary

Addresses

Primary practice location

6850 Centennial Dr
Tinley Park, IL 60477-1653

Mailing address

PO Box 96
Tinley Park, IL 60477-0096
Phone (708) 747-5850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1467638023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770096",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CENTENNIAL DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771653",
            "telephone_number": "708-429-3455",
            "fax_number": "708-429-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T WEBER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "GEAR",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-429-3455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "036104452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.