Dr Carol R Weinberg MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR CAROL R WEINBERG MD SC

Practice address

608 S Washington St
Ste 300
Naperville, IL 60540-6657

Phone

(630) 717-1771

Fax

(630) 717-0091

NPI assigned

May 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol R Weinberg, MDNPI 1538128517

Title

Owner

Phone

(630) 717-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol R Weinberg, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1538128517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891743001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST",
            "address_2": "STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406657",
            "telephone_number": "630-717-1771",
            "fax_number": "630-717-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST",
            "address_2": "STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406657",
            "telephone_number": "630-717-1771",
            "fax_number": "630-717-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CAROL R WEINBERG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-717-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36072940",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.