Daniel T Weber MD SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

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

Jun 12, 2007

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Integrity Orthopedics Doing business as

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1629272018",
    "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": "2007-06-12",
        "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": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036104452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2586",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00425411",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP #",
            "identifier": "0001637627",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa A Daigler, MPT
• Heather Ann Daly
• Callie Damazo, OTA/L
• Lequisha Dancy, SCHOOL PSYCHOLOGIST
• Daniel T Weber MD SC
• Lori Ann Daniels
• Paul Joseph Danielsky, MD
• Nicole Darby, MHS CCC-SLP/L
• Eugenie Guzman Darling, DDS
• Maya Muneer Darwish

• Orthopaedic Surgery Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• 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.