Individual provider · Type 1 NPI

Allen Weaver

Surgical Physician Assistant · Mokena, IL

NPI number 1225922669 Active

Practice location

19015 S Jodi Rd Ste H
Mokena, IL 60448-8534

Fax (832) 804-8886

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1225922669

Allen Weaver's National Provider Identifier is 1225922669, issued on Jun 9, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mokena, IL. The record was last updated on Jun 9, 2025.