Jerome S Weiskopf
Surgery of the Hand Plastic and Reconstructive Surgery
6533 Lexus Drive
Rockford
, Illinois 61108-3015
Jerome S Weiskopf
Surgery of the Hand Plastic and Reconstructive Surgery
6533 Lexus Drive
Rockford
, Illinois 61108-3015
(815) 397-1250
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Jerome S Weiskopf
- 6533 Lexus Drive
- Rockford, IL
- Zip : 61108-3015
- Fax : (815) 397-1250
- Phone : (815) 397-4180
Second Address
- Jerome S Weiskopf
- 6533 Lexus Drive
- Rockford, IL
- Zip : 61108-3015
- Fax : (815) 397-1250
- Phone : (815) 397-4180
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | 03652893 | IL |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 03652893 | IL |
National Provider Identifier
| NPI | 1992814628 |
|---|---|
| Provider Name | Jerome S Weiskopf |
| First Address | Rockford, IL 61108-3015 |
| Second Address | Rockford, IL 61108-3015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 25/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036052893 | (05) | IL |
| 101-00485 | BLUE CROSS IF IL (01) | IL |
| 131087000 | US DEPT OF LABOR (01) | |
| 31303800 | WI PUBLIC AID (01) | WI |
| 362958896015 | BLUE CROSS OF WI (01) | WI |
| 791240158 | RAILROAD MEDICARE (01) | |
| D09729 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.