Individual
SHELDON A. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
Mailing address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-058552
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058552
—
IL
Enumeration date
08/30/2006
Last updated
11/24/2009
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