IndividualActive
A. Charlotta Weaver, MD
NPI 1124206156 · Internal Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1124206156
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036119655 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
259 E Erie St
Suite 475
Chicago, IL 60611-2930
Phone: (312) 926-5893
Approximate (ZIP-level) locationGet directions
Mailing address
259 E Erie St
Chicago, IL 60611-2930
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2008-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.