WEBER MEDICAL CLINIC LTD (NPI# 1093810350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093810350 |
| Entity Type | Organization |
| Organization Name | WEBER MEDICAL CLINIC LTD |
| Practice Address |
1200 N East St Olney IL 62450-2499 |
| Mailing Address |
1200 N East St Weber Medical Clinic Ltd Olney IL 62450-2499 |
| Practice Telephone | 6183955222 |
| Practice Fax Number | 6183958552 |
| Mailing Telephone | 6183955222 |
| Mailing Fax Number | 6183958552 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-03-25 |
| Authorized Official Name | MR. JOHN L REED (ADMINISTRATOR) |
| Authorized Official Telephone | 6183952223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CL4973 | 01 | |
| IL | BLUE CROSS BLUE SHIELD | 08015410 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982791240 | Weber Medical Clinic Ltd | Pharmacy | 1200 N East Street, Olney, IL 62450-2499 | 2006-10-06 |
| 1831222710 | Weber Medical Clinic Ltd | Clinic/Center | 1200 N East St, Olney, IL 62450-2499 | 2007-03-13 |
| Street Address |
1200 N EAST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269384 | Cecilia Howell-canada | Pediatrics | 1200 N East St, Olney, IL 62450-2432 | 2005-07-14 |
| 1578108387 | Kelcey A Semple | Pharmacist | 1200 N East St, Olney, IL 62450-2432 | 2019-11-15 |
| 1427606920 | Destiny R Dannells | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2019-08-28 |
| 1932684313 | Kylie L Garbe | Nurse Practitioner | 1200 N East St, Olney, IL 62450 | 2018-10-01 |
| 1649754474 | Amanda Dillon | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-09-18 |
| 1548741960 | Stephanie Joann Greenwood | Counselor | 1200 N East St, Olney, IL 62450-2432 | 2018-08-23 |
| 1659857886 | Josette Jovero-clodfelter | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-07-11 |
| 1609385269 | Coles County Mental Health Association Inc | Community/Behavioral Health | 1200 N East St, Olney, IL 62450-2432 | 2017-09-27 |
| 1609314194 | Mackenzie Zuber | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2017-02-06 |
| 1306397542 | Trenton Clapp | Physician Assistant | 1200 N East St, Olney, IL 62450-2432 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750949442 | Arman C. Moshyedi, Md, LLC | Clinic/Center | 3416 Olandwood Ct Ste 201, Olney, MD 20832-1373 | 2019-05-29 |
| 1831596733 | Market Street Medical, LLC | Clinic/Center | 117 E Market St, Olney, IL 62450-2241 | 2014-11-21 |
| 1710239264 | Leist, Ltd. | Clinic/Center | 104 N Grant St, Olney, IL 62450-2612 | 2012-10-09 |
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|---|---|---|---|---|
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| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.