| Weiss Physician Group | |
|
4646 N Marine Dr Chicago IL 60640-5759 | |
| (773) 564-5102 | |
| (773) 564-5101 |
| Full Name | Weiss Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4646 N Marine Dr, Chicago, Illinois |
| Authorized Official Name and Position | Carol A Bailey (VICE PRESIDENT) |
| Authorized Official Contact | 6156656000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weiss Physician Group 20 Burton Hills Blvd Suite 100, Attention, Carol Bailey Nashville TN 37215-6197 Ph: (615) 665-6000 | Weiss Physician Group 4646 N Marine Dr Chicago IL 60640-5759 Ph: (773) 564-5102 |
| NPI Number | 1922060938 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922060938 | NPI | - | NPPES |
| 1632681 | Other | IL | BCBS - IL |
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