Individual
DR. ROBERT WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST STE 550, PARK RIDGE, IL 60068-1188
(847) 384-1420
(847) 318-9332
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-5450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT213930
PA
2086S0129X
Vascular Surgery Physician
Primary
036158818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT213930
GRADUATE MEDICAL TRAINEE SURGERY - GENERAL
PA
Enumeration date
07/10/2017
Last updated
09/16/2024
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