Weiss, Regis J

Weiss, Regis J is an sole proprietor health care provider with primary practice located at 660 N Westmoreland Rd Suite 306, Lake Forest IL 60045-1659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Weiss, Regis J can be contacted via phone (847) 956-8700.

Contact Information

Primary practice address
660 N Westmoreland Rd Suite 306 Lake Forest IL 60045-1659
Phone: (847) 956-8700
Fax: (847) 888-9609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036-090146 Illinois

Profile Details

NPI number 1588661318
LBN Legal business name Weiss, Regis J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Mar 2nd, 2010 - about 14 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 1588661318 NPPES
Illinois MEDICAID 036090146

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