| Dr Robert Weiss, MD | |
|
1875 Dempster St Ste 550, Park Ridge, IL 60068-1188 | |
| (847) 384-1420 | |
| (847) 318-9332 |
| Full Name | Dr Robert Weiss |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 1875 Dempster St Ste 550, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609398825 | NPI | - | NPPES |
| MT213930 | Other | PA | GRADUATE MEDICAL TRAINEE SURGERY - GENERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT213930 (Pennsylvania) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 036158818 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Weiss, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Robert Weiss, MD 1875 Dempster St Ste 550, Park Ridge, IL 60068-1188 Ph: (847) 384-1420 |
Dr. Manoj Shah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Suite 280, Park Ridge, IL 60068 Phone: 847-318-9071 Fax: 847-318-2535 | |
Jacob Larsen White, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster Street, Mailbox #48, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-723-6987 | |
Dr. Biraaj Manohar Mahajan, MD Surgery Medicare: Medicare Enrolled Practice Location: 1775 Dempster St # 48, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-723-3394 | |
Kunal Kochar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 N Northwest Hwy Ste 107, Park Ridge, IL 60068 Phone: 847-759-1110 Fax: 847-759-8273 | |
Mary Carrier, DO Surgery Medicare: Medicare Enrolled Practice Location: 1875 Dempster St Ste 280, Park Ridge, IL 60068 Phone: 847-723-5990 Fax: 847-318-2535 | |
Dr. James Scott George, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-787-1603 | |
Dr. Cody Nathaniel Russell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St # 48, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-723-6987 |