Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 036.113264 | IL |
NPI | 1013259779 |
---|---|
Provider Name | Allan Joseph Weinstein |
First Address | Chicago, IL 60610-2628 |
Second Address | Chicago, IL 60610-2628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 20/03/2013 |