ANGELA WEIDNER, Ambulatory Care GILLESPIE, IL

Contact Information

ANGELA WEIDNER

109 E MAPLE ST
GILLESPIE, IL 62033-1473

Phone: 217-839-4190
Fax: 217-839-1538
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Care	163WP2201X

Indicates primary specialty

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NPI Profile & details for ANGELA WEIDNER · (Female)

NPI Number	`1093190324`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/28/2015
Last updated	04/26/2026 - About a month ago
Sole proprietor ¹	No
Identifiers	IL License # 041.389054 IL Medicaid 376001351007
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ANGELA WEIDNERAmbulatory Care

Contact Information

Specialty

Ambulatory Care

NPI Profile & details for ANGELA WEIDNER · (Female)

Reviews for ANGELA WEIDNER

ANGELA WEIDNER
Ambulatory Care