# RONALD S WEISS MD SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chicago Eye Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962415992
- **Authorized official:** GEORGE L NEAL (ASSISTANT SECRETARY)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 4401 HARLEM AVE, STICKNEY, IL 60402-4250
- **Practice address phone:** (708) 788-3400
- **Practice address fax:** (708) 788-3472
- **Mailing address:** 4401 HARLEM AVE, STICKNEY, IL 60402-4250
- **Mailing address phone:** (708) 788-3400
- **Mailing address fax:** (708) 788-3472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 06/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001608470 | GROUP BC/BS NUMBER | IL |