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NPI Code Detail

MEDICARE: DR. JENNIFER ANN WEINBERG M.D.

MEDICARE:  DR. JENNIFER ANN WEINBERG  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
1208000000XPediatrics Physician48954-020WI
2208000000XPediatrics Physician036-121231IL

Other Identifiers

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

General Provider Information

NPI Number : 1184776619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER ANN WEINBERG M.D.
Provider Business Mailing Address
First Line : 3232 N HALSTED ST
Second Line : #D407
City : CHICAGO
State : IL
Zip : 60657-3476
Country : US
Telephone Number : 773-248-0558
Fax Number :
Provider Business Practice Location Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7222
Country : US
Telephone Number : 630-978-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 08/20/2008

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Directions to “ DR. JENNIFER ANN WEINBERG M.D.” Practice Location

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