Organization
RONALD S WEISS MD SC
Active
Other names
Chicago Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (ASSISTANT SECRETARY)
(469) 214-0144
Entity
Organization
Contact information
Practice address
4401 HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
(708) 788-3472
Mailing address
4401 HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
(708) 788-3472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001608470
GROUP BC/BS NUMBER
IL
Enumeration date
08/14/2006
Last updated
06/21/2022
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