Individual
DR. MARTIN P WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
717 W BITTERSWEET PL L2, CHICAGO, IL 60613-2375
(773) 935-0245
Mailing address
717 W BITTERSWEET PL L2, CHICAGO, IL 60613-2375
(773) 935-0245
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634904
BCBS PROVIDER
IL
Enumeration date
10/11/2006
Last updated
07/08/2007
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