Individual
DR. CHARLES Z WEINGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 W LAKE AVE, SUITE 300, GLENVIEW, IL 60026-5805
(847) 729-9122
(847) 729-9134
Mailing address
3633 W LAKE AVE, SUITE 300, GLENVIEW, IL 60026-5805
(847) 729-9122
(847) 729-9134
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36039376
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615422
BLUE CROSS BLUE SHIELD
IL
01
—
110015344
RAILROAD MEDICARE
—
Enumeration date
04/14/2006
Last updated
08/17/2012
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