Weiss, Stacy H

Weiss, Stacy H is an individual health care provider with primary practice located at 1051 W Rand Rd Suite 101, Arlington Hts IL 60004-2315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Weiss, Stacy H can be contacted via phone (847) 221-4900.

Contact Information

Primary practice address
1051 W Rand Rd Suite 101 Arlington Hts IL 60004-2315
Phone: (847) 221-4900
Fax: (847) 221-4996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-105635 Illinois

Profile Details

NPI number 1902806086
LBN Legal business name Weiss, Stacy H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jun 6th, 2022 - about 4 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 1902806086 NPPES
Illinois MEDICAID 036105635
Illinois Other 036105635

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