Martin J Weiner, MD | |
3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | |
(847) 244-0222 | |
(847) 244-7122 |
Full Name | Martin J Weiner |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 3 S Greenleaf St, Gurnee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285629063 | NPI | - | NPPES |
036071609 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036071609 (Illinois) | Primary |
Entity Name | Waukegan Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306937289 PECOS PAC ID: 4284631086 Enrollment ID: O20061108000240 |
Mailing Address | Practice Location Address |
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Martin J Weiner, MD 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 Ph: (847) 244-0222 | Martin J Weiner, MD 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 Ph: (847) 244-0222 |
Mr. Richard Sherbahn, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 30 Tower Court, Suite F, Gurnee, IL 60031 Phone: 847-662-1818 Fax: 847-662-3001 | |
Dr. Charisse Hudson-quigley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-244-0222 Fax: 847-244-7122 | |
Dr. Frank C Sun, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 200 S Greenleaf St, Suitle L, Gurnee, IL 60031 Phone: 847-360-7888 Fax: 847-360-8366 | |
Michelle Catenacci, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 30 Tower Ct, Suite F, Gurnee, IL 60031 Phone: 847-662-1818 Fax: 847-662-3001 | |
Gary R Jones, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 30 Tower Ct Ste F, Gurnee, IL 60031 Phone: 847-662-1818 | |
Joby George, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15 Tower Ct Ste 300, Gurnee, IL 60031 Phone: 847-941-7600 |