Organization Active NPI

Samuel Weiss, MD,SC

  • Point of Service
  • Chicago, IL
National Provider Identifier
1609076348
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
042.002341 Issued in IL
Legal business name
SAMUEL WEISS, MD,SC
Practice address
500 N Michigan Ave
Suite 1520
Chicago, IL 60611-3777
Phone
(312) 527-4541
Fax
(847) 329-9613
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Samuel Weiss, MD
Title
President
Phone
(312) 527-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 042.002341 IL Primary

Addresses

Primary practice location

500 N Michigan Ave
Suite 1520
Chicago, IL 60611-3777

Mailing address

500 N Michigan Ave
Suite 1520
Chicago, IL 60611-3777
Phone (312) 527-4541

National Provider Directory

National Provider Directory

Locations

500 N Michigan Ave
Ste 1830
Chicago, IL 60611
Phone (312) 527-4541

500 N Michigan Ave
Ste 1520
Chicago, IL 60611
Phone (312) 527-4541

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1609076348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE",
            "address_2": "SUITE 1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113777",
            "telephone_number": "312-527-4541",
            "fax_number": "847-329-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE",
            "address_2": "SUITE 1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113777",
            "telephone_number": "312-527-4541",
            "fax_number": "847-329-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL WEISS, MD,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-527-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "042.002341",
            "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 20, 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.