Organization
HEALTHENGINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D WEISS M.D. (CEO)
(877) 300-8644
Entity
Organization
Contact information
Practice address
116 W HUBBARD ST, #7S, CHICAGO, IL 60654-8542
(877) 300-8644
Mailing address
116 W HUBBARD ST, #7S, CHICAGO, IL 60654-8542
(877) 300-8644
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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