Individual
DR. MITCHELL R WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 N LAKESHORE DR, 12TH FLOOR, CHICAGO, IL 60657
(773) 665-3261
(773) 665-9435
Mailing address
2900 N LAKESHORE DR, 12TH FLOOR, CHICAGO, IL 60657
(773) 665-3261
(773) 665-9435
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036124563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447270475
—
IL
Enumeration date
07/20/2006
Last updated
02/18/2014
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