Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Gwen D Weidell, PTA

Individual provider Physical Therapy Assistant · NPI 1629226188

MS. Gwen D Weidell, PTA is a Physical Therapy Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

345 E Superior St
Chicago, IL 60611-2654
Phone: (312) 238-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160002290 (IL)

Record details

NPI number1629226188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 8, 2008
Last updated in NPPESSeptember 8, 2008

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