Active NPI
Reuben R. Weisz, M.D., P.C.
- Neurology Physician
- Gurnee, IL
National Provider Identifier
1427253483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036061113
- Legal business name
- REUBEN R. WEISZ, M.D., P.C.
- Practice address
- 1 S Greenleaf St
Suite 'L'
Gurnee, IL 60031-3370 - Phone
- (847) 625-2600
- Fax
- (847) 625-2602
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reuben R. Weisz, M.D.
- Title
- President
- Phone
- (847) 625-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036061113 | IL | Primary |
Addresses
Primary practice location
1 S Greenleaf St
Suite 'L'
Gurnee, IL 60031-3370
Mailing address
1 S Greenleaf St
Suite 'L'
Gurnee, IL 60031-3370
Phone (847) 625-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061113 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
1425 N Hunt Club Rd
Ste 201
Gurnee, IL 60031
Phone (847) 855-9442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246838400000",
"number": "1427253483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S GREENLEAF ST",
"address_2": "SUITE 'L'",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313370",
"telephone_number": "847-625-2600",
"fax_number": "847-625-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S GREENLEAF ST",
"address_2": "SUITE 'L'",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313370",
"telephone_number": "847-625-2600",
"fax_number": "847-625-2602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REUBEN R. WEISZ, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2009-07-06",
"status": "A",
"authorized_official_last_name": "WEISZ",
"authorized_official_first_name": "REUBEN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-625-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036061113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061113",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.