Weis, Mervyn J.

Weis, Mervyn J. is an individual health care provider with primary practice located at 4640 N Marine Dr Suite 6100C, Chicago IL 60640-5719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Weis, Mervyn J. can be contacted via phone (773) 769-4411.

Contact Information

Primary practice address
4640 N Marine Dr Suite 6100C Chicago IL 60640-5719
Phone: (773) 769-4411
Fax: (773) 769-5140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Illinois

Profile Details

NPI number 1043212954
LBN Legal business name Weis, Mervyn J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043212954 NPPES
Illinois Other 01615327 BLUE CROSS
Illinois Other 36040513 BLUE CROSS

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