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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548245335 NPPES
Illinois MEDICAID 036052292

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