Search › Illinois › 183500000X
John Weiss
NPI 1891105490 · on the registry since 2014
Practice
- Address
- 4200 Conestoga Drive
Springfield, IL 62711 - Phone
- (217) 547-2433
- Organisation at this address
- Meijer Great Lakes Limited Partnership
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois