Provider Demographics
NPI:1487766028
Name:WEBER, ELIZA CHRISTINE
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:CHRISTINE
Last Name:WEBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:CHRISTINE
Other - Last Name:FUESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1224 ALLISON LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-2720
Mailing Address - Country:US
Mailing Address - Phone:224-595-2348
Mailing Address - Fax:224-366-6895
Practice Address - Street 1:544 NUNDA TRL
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60012-3795
Practice Address - Country:US
Practice Address - Phone:847-278-1851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-012003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK22197Medicare ID - Type UnspecifiedPHYSICAL THERAPY