Individual
IRA WILLIAM WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE RM G234, EVANSTON HOSPITAL CARDIAC GRAPHICS DEPT, EVANSTON, IL 60201-1718
(847) 570-2065
(847) 570-2937
Mailing address
P.O. BOX 1858, EVANSTON, IL 60204-1858
(847) 570-2065
(847) 570-2937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036052292
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052292
—
IL
Enumeration date
12/14/2005
Last updated
09/21/2009
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