Individual
ELLIOT WEISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-7312
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-7312
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036084232
IL
Other
Enumeration date
08/22/2005
Last updated
10/01/2024
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