IndividualActive
Lori Weiss, M.D.
NPI 1053314484 · Pediatric Adolescent Medicine Physician · Berwyn, IL
Provider details
- NPI number
- 1053314484
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036074273 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6840 Windsor Ave
Berwyn, IL 60402-3441
Phone: (708) 484-0042
Fax: (708) 749-5489
Street-level locationGet directions
Mailing address
6840 Windsor Ave
Berwyn, IL 60402-3441
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2011-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.