OrganizationActive
Samuel Weiss, Md,sc
NPI 1609076348 · Point of Service · Chicago, IL
Provider details
- NPI number
- 1609076348
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Authorized official
- Samuel Weiss, President
- License
- 042.002341 (IL)
Practice location
500 N Michigan Ave
Suite 1520
Chicago, IL 60611-3777
Phone: (312) 527-4541
Fax: (847) 329-9613
Mailing address
500 N Michigan Ave
Chicago, IL 60611-3777
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.