Individual
DR. RONALD S WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
Mailing address
4401 HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036079050
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079050
—
IL
Enumeration date
08/14/2006
Last updated
04/29/2015
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