IndividualActive
Allen Weaver
NPI 1225922669 · Surgical Physician Assistant · Mokena, IL
Provider details
- NPI number
- 1225922669
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
19015 S Jodi Rd Ste H
Mokena, IL 60448-8534
Phone: (708) 995-5418
Fax: (832) 804-8886
Mailing address
19015 S Jodi Rd Ste H
Mokena, IL 60448-8534
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.