DR. THOMAS D WEYBURN JR. (NPI# 1487636478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487636478 |
| Entity Type | Individual |
| Full Name | DR. THOMAS D WEYBURN JR. |
| Credential | D.O. |
| Practice Address |
4305 W Medical Center Dr Suite 1 Mchenry IL 60050-8425 |
| Mailing Address |
1800 Hollister Dr Suite 112 Libertyville IL 60048-5263 |
| Practice Telephone | 8157599260 |
| Practice Fax Number | 8157599261 |
| Mailing Telephone | 8473676781 |
| Mailing Fax Number | 8473677384 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360989521 | 05 |
| Street Address |
4305 W MEDICAL CENTER DR SUITE 1 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857878 | Integrative Radiation Oncology Consultants | Radiology | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2018-07-11 |
| 1245742949 | Jill C Benedeck | Clinical Nurse Specialist | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2017-11-02 |
| 1508394735 | Tina Han | Genetic Counselor, MS | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2017-06-01 |
| 1124145032 | Laura Beamer | Nurse Practitioner | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2007-03-23 |
| 1922114453 | Illinois Cancer Specialists | Internal Medicine | 4305 W Medical Center Dr, Ste 1, Mchenry, IL 60050-8425 | 2006-08-21 |
| 1235163437 | Terrence J Bugno | Radiology | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2006-07-11 |
| 1437181047 | Shelly Klube Galasinski | Genetic Counselor, MS | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2006-07-06 |
| 1083658082 | Jill Marie Behm | Nurse Practitioner | 4305 W Medical Center Dr, Suite 1, Mchenry, IL 60050-8425 | 2006-06-16 |
| 1851350318 | Rena Beth Zimmerman | Radiology | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647205 | Marcelo Rocha De Sousa Cruz | Internal Medicine | 233 East Superior Street, 1st Floor, Chicago, IL 60611 | 2016-09-14 |
| 1720426513 | Michael John Jelinek | Internal Medicine | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2013-06-13 |
| 1265696348 | Sunandana Chandra | Internal Medicine | 645 N. Michigan Avenue, Suite 1006, Chicago, IL 60611 | 2008-07-17 |
| 1033318043 | John Charles Brooks | Internal Medicine | 753 Brookwood Ter # 5, Olympia Fields, IL 60461-1543 | 2007-07-11 |
| 1598819575 | Sabet Siddiqui | Internal Medicine | 9 Health Services Dr Ste 5, Dekalb, IL 60115-9601 | 2007-01-23 |
| 1417011529 | Alicia Katherine Morgans | Internal Medicine | 676 N Saint Clair St Fl 21, Chicago, IL 60611-2927 | 2006-12-21 |
| 1629166442 | Matthew Eric Adess | Internal Medicine | 757 Park Ave W, Highland Park, IL 60035-2556 | 2006-10-10 |
| 1629164678 | Justin D Floyd | Internal Medicine | 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2367 | 2006-10-05 |
| 1356441943 | Osvaldo H Wesly | Internal Medicine | 105 S. Amos Ave, Springfield, IL 62704 | 2006-09-23 |
| 1467467803 | Mid-illinois Hematology Oncology Associates Ltd | Internal Medicine | 407 E Vernon Ave Ste 104, Normal, IL 61761-3813 | 2006-07-31 |
| 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.