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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1043212954 | NPPES |
| Illinois | Other | 01615327 | BLUE CROSS |
| Illinois | Other | 36040513 | BLUE CROSS |
Popular Providers
-
Pavlatos, Andrew M
2845 N Sheridan Rd Ste 801 , Chicago IL 60657-6159 -
Nedza, Susan M
8600 W. Bryn Mawr Ave Suite 800, Chicago IL 60631 -
Lauterbach, Katherine
1642 W Belmont Ave , Chicago IL 60657-3018 -
Shah, Nirmala A.
6374 N Lincoln Ave Ste 311 , Chicago IL 60659-1283 -
Behm, Frederick G.
840 S Wood St Department Of Pathology, Mc847, Chicago IL 60612-4325 -
Sawyer, Mark
7428 N Western Ave , Chicago IL 60645-1707 -
Thompson, Gregory Allen
33 W Monroe St Suite 600, Chicago IL 60603-5300 -
Geiermann, Steven Patrick
5218 N Winthrop Ave # 3N, Chicago IL 60640-2306