Individual
JOSHUA ALAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7820
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02003853
IN
2085R0202X
Diagnostic Radiology Physician
Primary
036.123519
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125-051336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201025660
—
IN
01
—
P00976545
RAILROAD MEDICARE
IN
Enumeration date
09/24/2008
Last updated
02/05/2026
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