NPIMap

Organization Active NPI

Weiss Memorial Hospital

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1518222017
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEISS MEMORIAL HOSPITAL
Practice address
4646 N Marine Dr
Suite 7100
Chicago, IL 60640-5759
Phone
(203) 823-3365
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Karen Verga
Title
Residency Program Coordinator
Phone
(773) 564-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

4646 N Marine Dr
Suite 7100
Chicago, IL 60640-5759

Mailing address

4646 N Marine Dr
Suite 7100
Chicago, IL 60640-5759
Phone (203) 823-3365

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
Ste 7100
Chicago, IL 60640
Phone (773) 564-5225

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518222017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "SUITE 7100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "203-823-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "SUITE 7100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "203-823-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VERGA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "RESIDENCY PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "773-564-5235"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.