Individual
JILL M WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 N HALSTED ST STE 203, CHICAGO, IL 60642-2621
(312) 926-3627
(312) 642-6846
Mailing address
1460 N HALSTED ST STE 203, CHICAGO, IL 60642-2621
(312) 926-3627
(312) 642-6846
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036112775
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8457368
—
WA
Enumeration date
05/28/2006
Last updated
02/18/2020
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