Organization
THE NORTHWESTERN CHILDREN'S PRACTICE
Active
Other names
Marc Weissbluth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC WEISSBLUTH M.D. (PRESIDENT)
(312) 642-5515
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, 123, CHICAGO, IL 60611-4546
(312) 642-5515
(312) 642-0753
Mailing address
680 N LAKE SHORE DR, 123, CHICAGO, IL 60611-4546
(312) 642-5515
(312) 642-0753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/21/2008
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