Jeffrey S. Waitzman, M.D.,S.C.

LBN: Jeffrey S. Waitzman, M.D.,S.C.
Jeffrey S. Waitzman, M.D.,S.C. is an health care organization with primary practice located at 1875 Dempster St Suite 265, Park Ridge IL 60068-1186. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Jeffrey S. Waitzman, M.D.,S.C. can be contacted via phone (847) 698-0400, or through Paulson, Marianne I via phone (847) 698-0400.

Contact Information

Primary practice address
1875 Dempster St Suite 265 Park Ridge IL 60068-1186
Phone: (847) 698-0400
Fax: (847) 698-0407
Website:
Map and Directions
Authorized official contact:
Name: Paulson, Marianne I
Phone: (847) 698-0400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1205019106
LBN Legal business name Jeffrey S. Waitzman, M.D.,S.C.
DBA Doing business as
Authorized official Paulson, Marianne I
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205019106 NPPES
Illinois Other 31601976 BLUE CROSS BLUE SHIELD

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