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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1588661318 | NPPES |
| Illinois | MEDICAID | 036090146 |
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