Individual
DR. RICHARD J WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
800 AUSTIN ST, SUITE 469, EVANSTON, IL 60202-3439
(847) 328-3338
(847) 328-3388
Mailing address
800 AUSTIN ST, SUITE 469, EVANSTON, IL 60202-3439
(847) 328-3338
(847) 328-3388
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003961
—
IL
Enumeration date
06/15/2006
Last updated
05/12/2014
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