Organization
WEISS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGHMAN HUSEYNOV (PHYSICIAN)
(571) 309-4490
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(571) 309-4490
Mailing address
4600 N CLARENDON AVE, APT.1011, CHICAGO, IL 60640-5710
(571) 309-4490
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
125.061167
IL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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