Individual
DR. GRETCHEN M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
181 W MADISON ST, SUITE 4550, CHICAGO, IL 60602-4510
(312) 641-2586
Mailing address
10 ROCKEFELLER PLZ, 4TH FLOOR, NEW YORK, NY 10020-1903
(212) 332-3670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036115176
IL
207R00000X
Internal Medicine Physician
60694
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3061132
—
MA
Enumeration date
11/08/2005
Last updated
12/01/2008
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