Provider Demographics
NPI:1548554835
Name:WEBER, TOBY S (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:TOBY
Middle Name:S
Last Name:WEBER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5504 LOMOND AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-4216
Mailing Address - Country:US
Mailing Address - Phone:630-437-5191
Mailing Address - Fax:630-437-5191
Practice Address - Street 1:1717 N NAPER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8802
Practice Address - Country:US
Practice Address - Phone:630-728-0823
Practice Address - Fax:630-437-5191
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0022391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical