Marc Gordon Weiss
MD | Pediatric Neonatal-Perinatal Medicine | Male
Marc Gordon Weiss, MD is a Maywood, Illinois based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Marc Gordon Weiss is
2160 S First Ave, (fahey Bldg., Rm. 270), Maywood, Illinois - 60153. He can be contacted on phone at
708-216-5102 and fax number 708-216-1699.
Marc Gordon Weiss is a sole proprietor of his business.
NPI number (Unique professional ID) for Marc Gordon Weiss is
1881668713 which was assigned by NPPES on 15 Feb, 2006 and it was last updated on 29 Jun, 2021.
Marc Gordon Weiss license number is
36077094 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Illinois.
Marc Gordon Weiss is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Marc Gordon Weiss basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Marc Gordon Weiss |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Marc Gordon Weiss address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2160 S First Ave, (fahey Bldg., Rm. 270)
Maywood, IL, 60153
United States |
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| Phone Number : | 708-216-5102 |
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| Fax Number : | 708-216-1699 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881668713 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Feb, 2006 |
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| Last Updated On : | 29 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marc Gordon Weiss are as mentioned. Primary taxonomy code for Marc Gordon Weiss, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 36077094 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Marc Gordon Weiss such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 36077094 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mweiss14031@direct.luhs.org
| No affiliation | OTHER
Other
FHIR API | OTHER
Other
CCD | 2160 S FIRST AVE, (FAHEY BLDG., RM. 270)
MAYWOOD, IL, 60153
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2160 S First Ave, (fahey Bldg., Rm. 270)
Maywood, IL, 60153
United States |
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| Phone Number : | 708-216-5102 |
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| Fax Number : | 708-216-1699 |
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Business Location:
Patients can refer following map for directions to
Marc Gordon Weiss practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.