SAMUEL WEISS MDSC NPI 1609076348

NPI Information

  • NPI: 1609076348
  • Provider Name: SAMUEL WEISS, MD,SC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 500 N MICHIGAN AVE
    SUITE 1520
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 527-4541

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NPI Details

SAMUEL WEISS, MD,SC is a point of service in Chicago, IL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SAMUEL WEISS, MD,SC NPI is 1609076348. The provider is registered as an organization entity type.

The provider's business location address is:

500 N MICHIGAN AVE
SUITE 1520
CHICAGO, IL
ZIP 60611-777
Phone: (312) 527-4541
Fax: (847) 329-9613

The provider's authorized official is Samuel Weiss .
The authorized official title is President and has the following contact phone number (312) 527-4541.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/20/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service042.002341ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G80576MEDICARE UPINILLINOIS
276255MEDICARE PINILLINOIS

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: 11/21/2025

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