Individual
EMILY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1931 N HALSTED ST, CHICAGO, IL 60614-5008
(312) 219-2230
Mailing address
1931 N HALSTED ST, CHICAGO, IL 60614-5008
(312) 219-2230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010769
IL
363A00000X
Physician Assistant
Primary
5601010841
—
Other
Enumeration date
10/12/2021
Last updated
01/29/2026
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