Jeffrey S. Waitzman, M.D.,S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JEFFREY S. WAITZMAN, M.D.,S.C.

Practice address

1875 Dempster St
Suite 265
Park Ridge, IL 60068-1186

Phone

(847) 698-0400

Fax

(847) 698-0407

NPI assigned

Dec 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marianne I Paulson

Title

Office Manager

Phone

(847) 698-0400

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1205019106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 265",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-698-0400",
            "fax_number": "847-698-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 265",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-698-0400",
            "fax_number": "847-698-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. WAITZMAN, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-698-0400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31601976",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Janik, DPT
• Milica Janosevic, DO
• Haley Nicole Janousek, M.A. CCCC-SLP
• Kimberly Ann Jastremski, SLP
• Ashwin Jayachandran, M.D.
• Jerry Bauer MD SC
• Harold Jesser, MD
• Yogesh S Jethava, MD
• Eliot Jia, MD
• Jillian M. Wickery, PH.D., Psychological Services PLLC

• Obstetrics & Gynecology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.