Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mallory Beth Weber, PA-C

Individual provider Physician Assistant · NPI 1295277077

Mrs. Mallory Beth Weber, PA-C is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1725 W Harrison St Ste 809
Chicago, IL 60612-3841
Phone: (312) 942-5904
Fax: (312) 942-3192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006013 (IL)

Record details

NPI number1295277077
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 10, 2016
Last updated in NPPESNovember 10, 2016

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