TERRIE L WEIR MEDICAL PC NPI 1093907727

NPI Information

NPI: 1093907727
Provider Name: TERRIE L WEIR MEDICAL PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7605 1/2 NORTH AVE
RIVER FOREST, IL
ZIP 60305
Phone: (708) 366-4888
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TERRIE L WEIR MEDICAL PC is a specialist in River Forest, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TERRIE L WEIR MEDICAL PC NPI is 1093907727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7605 1/2 NORTH AVE
RIVER FOREST, IL
ZIP 60305-133
Phone: (708) 366-4888

The provider's authorized official is Terrie L Weir .
The authorized official title is President and has the following contact phone number (708) 366-7177.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		036081633	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01635987	OTHER	ILLINOIS	BCBS IL
2	212887	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
3	036081633	MEDICAID	ILLINOIS
4	K24502	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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