Weiss, Ira William
Weiss, Ira William is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave Rm G234 Evanston Hospital Cardiac Graphics Dept, Evanston IL 60201-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Weiss, Ira William can be contacted via phone (847) 570-2065.Contact Information
Primary practice address
2650 Ridge Ave Rm G234 Evanston Hospital Cardiac Graphics Dept
Evanston IL 60201-1718
Phone: (847) 570-2065
Fax: (847) 570-2937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036052292 | Illinois |
Profile Details
| NPI number | 1548245335 |
|---|---|
| LBN Legal business name | Weiss, Ira William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Sep 21st, 2009 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548245335 | NPPES |
| Illinois | MEDICAID | 036052292 |
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