LEROY NMI WEATHERSBY DDS NPI 1316025786

NPI Information

  • NPI: 1316025786
  • Provider Name: LEROY NMI WEATHERSBY, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 17508 E CARRIAGEWAY DRIVE
    SUITE A
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 206-1181

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NPI Details

Leroy Nmi Weathersby, DDS is a general practice dentist in Hazel Crest, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Leroy Nmi Weathersby, DDS NPI is 1316025786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17508 E CARRIAGEWAY DRIVE
SUITE A
HAZEL CREST, IL
ZIP 60429
Phone: (708) 206-1181
Fax: (708) 206-1060

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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