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General NPI Number Information
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NPI Number | 1376507137
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Entity Type | Individual
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Provider Name | THOMAS J WEIGEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 737 N MICHIGAN AVE SUITE 900
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City | CHICAGO
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State | IL
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Zip | 60611-6600
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Country | US
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Telephone | 312-951-5800
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Fax | 312-951-5816
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Provider Business Mailing Address
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Address Line | 737 N MICHIGAN AVE SUITE 900
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City | CHICAGO
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State | IL
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Zip | 60611-6600
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Country | US
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Telephone | 312-951-5800
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Fax | 312-951-5816
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 036-072228
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License Number State | IL
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