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CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY NPI 1407032022


NPI Information

NPI: 1407032022
Provider Name: CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY

Former Legal Business Name: THOMAS J WEIGEL MD SC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
737 N. MICHIGAN AVE
SUITE 900
CHICAGO, IL
ZIP 60611
Phone: (312) 951-5800
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CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY NPI is 1407032022. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Thomas J Weigel Md Sc.

The provider's business location address is:

737 N. MICHIGAN AVE
SUITE 900
CHICAGO, IL
ZIP 60611-600
Phone: (312) 951-5800
Fax: (312) 951-5816

The provider's authorized official is Thomas J. Weigel .
The authorized official title is Owner/physician and has the following contact phone number (312) 951-5800.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 4/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty042007521ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036100179MEDICAIDILLINOIS
2042007521OTHERILLINOISSTATE LICENSE
3036072228MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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