Individual
DR. EIAS E JWEIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 346-4040
(083) 463-2877
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01067276A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-100901
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
56018-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100901
—
IL
05
—
1720132210
—
MI
05
—
200992020A
—
IN
05
—
200992020B
—
IN
05
—
200992020C
—
IN
05
—
200992020D
—
IN
05
—
200992020E
—
IN
Enumeration date
01/22/2007
Last updated
12/17/2021
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