Samuel E Weinberg, | |
710 N Fairbanks Ct Ste 2-458, Chicago, IL 60611-3013 | |
(312) 926-3211 | |
(312) 503-8259 |
Full Name | Samuel E Weinberg |
---|---|
Gender | Male |
Speciality | Pathology - Immunopathology |
Location | 710 N Fairbanks Ct Ste 2-458, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538515473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 125075240 (Illinois) | Secondary |
207ZI0100X | Pathology - Immunopathology | 036160912 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Samuel E Weinberg, 710 N Fairbanks Ct Ste 2-458, Chicago, IL 60611-3013 Ph: (312) 926-3211 | Samuel E Weinberg, 710 N Fairbanks Ct Ste 2-458, Chicago, IL 60611-3013 Ph: (312) 926-3211 |
Mark Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg Pavilion, Chicago, IL 60611 Phone: 312-503-8144 Fax: 312-502-8249 | |
Sandeep Gurbuxani, Pathology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Carmencita Garcia Senseng, MD Pathology Medicare: Medicare Enrolled Practice Location: 1900 W Polk St, Chicago, IL 60612 Phone: 312-864-7561 | |
Suman Setty, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Jayme Brentan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Dr. Megan Elizabeth Sullivan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-926-3211 | |
Dr. Brett Michael Mahon, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1750 W Harrison St, Jelke, Suite 570, Chicago, IL 60612 Phone: 312-942-5260 |