Individual
REGIS J WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 N WESTMORELAND RD, SUITE 306, LAKE FOREST, IL 60045-1659
(847) 956-8700
(847) 888-9609
Mailing address
PO BOX 909, LAKE ZURICH, IL 60047-0909
(847) 956-8700
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036-090146
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090146
—
IL
Enumeration date
07/07/2005
Last updated
03/02/2010
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