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NPI Code Detail

MEDICARE: STEVEN L. WEINSTEIN M.D.

MEDICARE: STEVEN L. WEINSTEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician036097394IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
221623022OTHERILBCBS

General Provider Information

NPI Number : 1124195599
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN L. WEINSTEIN M.D.
Provider Business Mailing Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-537-3677
Fax Number :
Provider Business Practice Location Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-537-3677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 03/02/2012

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