Individual
MARTIN J WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 S GREENLEAF ST, SUITE A, GURNEE, IL 60031-3377
(847) 244-0222
(847) 244-7122
Mailing address
3 S GREENLEAF ST, SUITE A, GURNEE, IL 60031-3377
(847) 244-0222
(847) 244-7122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036071609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071609
—
IL
Enumeration date
09/16/2005
Last updated
08/29/2007
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