MARC GORDON WEISS


Address: 2160 S First Ave, (fahey Bldg., Rm. 270), Maywood, IL 60153
Phone: 7082165102

MARC GORDON WEISS (NPI# 1881668713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881668713
Entity Type Individual
Full Name MARC GORDON WEISS
Credential MD
Practice Address 2160 S First Ave
(fahey Bldg., Rm. 270)
Maywood
IL 60153
Practice Telephone 7082165102
Practice Fax Number 7082161699
Mailing Telephone 7082165102
Mailing Fax Number 7082161699
Enumeration Date 2006-02-15
Last Update Date 2010-03-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
36077094 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 36077094 05

Other Providers MARC WEISS

NPI Name Taxonomy Address Enumeration
1811433832 Marc Franchot Weiss Psychologist 7339 N Lowell Ave, Lincolnwood, IL 60712-1925 2017-01-14
1689691172 Marc Dana Weiss Chiropractor 2410 Torrance Blvd, Ste D, Torrance, CA 90501 2006-07-17
1134679657 Marc Weiss Marriage & Family Therapist 10649 Riverside Dr, Toluca Lake, CA 91602-2341 2016-10-07
1467665091 Marc David Weiss Psychiatry & Neurology 1695 Nw 9th Ave, University of Miami Dept of Psychiatry, Miami, FL 33136-1409 2007-05-08
1679640551 Marc D. Weiss Otolaryngology 5601 De Soto Ave, Woodland Hills, CA 91367-6701 2006-11-29

Office Location

Street Address 2160 S FIRST AVE
(FAHEY BLDG., RM. 270)
City MAYWOOD
State IL
Zip Code 60153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497732747 Rodney Tehrani Internal Medicine 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 2005-12-28
1013448901 Erin Rebecca Fiedler Psychiatry & Neurology 2160 S First Ave, Loyola University Medical Gme Office 105/2840, Maywood, IL 60153 2017-03-23
1477917698 Judy A Trieu Internal Medicine 2160 S First Ave, Building 54- Suite 167, Maywood, IL 60153 2016-04-13
1285977348 Mackenzie Marie Sward Ophthalmology 2160 S First Ave, Loyola University Medical Center Dept of Ophthalmology, Maywood, IL 60153-6809 2013-03-27
1689822231 Sean O'donnell Surgery 2160 S First Ave, Loyola Medical Center Department of Surgery, Maywood, IL 60153 2008-09-08
1730336652 Lara Bakhos Internal Medicine 2160 S First Ave, Maywood, IL 60153 2008-08-21
1831353788 Justin Spackey Radiology 2160 S First Ave, Maywood, IL 60153 2008-07-10
1821257833 Neha Sheth Dasmunshi Anesthesiology 2160 S First Ave, Maywood, IL 60153-3328 2008-06-04
1629290655 Mark E Cichon Emergency Medicine 2160 S First Ave, Ems Bldg. Rm. 2700, Maywood, IL 60153 2007-05-02
1396878682 Donna Mccormack Nurse Practitioner 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 2007-03-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
Find all providers in zip 60153

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891950051 Angela Teresa Gomez-lam Pediatrics 2160 S 1st Ave, Maywood, IL 60153-3328 2008-07-26
1699798454 Dalia Maria Feltman Pediatrics 2160 S 1st Ave, Maywood, IL 60153-3328 2006-07-25
1588638373 Jonathan Muraskas Pediatrics 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 2006-02-16
1710951868 Lawrence Nicholas Bennett Pediatrics 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 2006-02-15
1013981026 Maliha J Shareef Pediatrics 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 2006-02-15
1740254754 Christine H Sajous Pediatrics 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 2006-02-15
1346214319 Mary S Tillema Pediatrics 2160 S First Ave, (maguire Center, Rm. 3307), Maywood, IL 60153 2006-02-15
1164496485 Stephen L Co Pediatrics 2160 S 1st Ave, Maguire Center, Rm. 3307, Maywood, IL 60153 2006-02-14
1326012642 Jessica V Corsino Pediatrics 2160 S First Ave, Maguire Center, Rm. 3307, Maywood, IL 60153 2006-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043767841 Gail Sharon Haiken Pediatrics 5303 Regents Park Rd, Rockford, IL 61107-5092 2016-09-08
1871910976 Jessica Lahn Chiang Pediatrics 1775 Dempster St # 54, Park Ridge, IL 60068-1143 2014-03-26
1669806667 Ricardo Tomas Rosenkranz Pediatrics 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 2013-08-26
1063845626 Kala Sukerkar Pediatrics 2406 Indian Ridge Dr, Glenview, IL 60026-1030 2013-08-18
1407194780 Well Baby Care PC Pediatrics 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 2013-01-22
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1447516257 John Vincent Hartline Pediatrics 1259 Prestwick Ln, Itasca, IL 60143-1975 2012-04-05
1780979302 Kelly Nelson Kelly Pediatrics 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 2011-06-11
1255623997 Venkata Sasidhar Majjiga Pediatrics 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 2011-05-13
1700187531 Ursula Patricia Colareta Ugarte Pediatrics 1444 Carol St Apt A, Park Ridge, IL 60068-1290 2010-11-10
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Competitor

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City MAYWOOD
Zip Code 60153

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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