| David I. Weiss MD SC | |
|
9129 Waukegan Rd Morton Grove IL 60053-2120 | |
| (847) 674-3371 | |
| (847) 674-3381 |
| Full Name | David I. Weiss MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9129 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | David Weiss (PRESIDENT) |
| Authorized Official Contact | 8476743371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David I. Weiss MD SC 4949 N Western Ave Chicago IL 60625-1921 Ph: (847) 674-3371 | David I. Weiss MD SC 9129 Waukegan Rd Morton Grove IL 60053-2120 Ph: (847) 674-3371 |
| NPI Number | 1841582434 |
|---|---|
| Provider Enumeration Date | 05/14/2011 |
| Last Update Date | 05/14/2011 |
| Medicare PECOS PAC ID | 7012194525 |
|---|---|
| Medicare Enrollment ID | O20110610000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841582434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042008034036067075 (Illinois) | Primary |
| Provider Name | David I Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851431068 PECOS PAC ID: 2365629870 Enrollment ID: I20110610000126 |
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