Individual
GENE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 N WELLS ST APT 502, CHICAGO, IL 60610-7750
(847) 502-2585
Mailing address
1414 N WELLS ST APT 502, CHICAGO, IL 60610-7750
(847) 502-2585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036066241
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036066241
IL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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