Provider Demographics
NPI:1922176213
Name:STEVEN L WEINSTEIN, MD LTD
Entity Type:Organization
Organization Name:STEVEN L WEINSTEIN, MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-593-9070
Mailing Address - Street 1:4447 N WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5808
Mailing Address - Country:US
Mailing Address - Phone:773-593-9070
Mailing Address - Fax:312-941-1331
Practice Address - Street 1:4447 N WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5808
Practice Address - Country:US
Practice Address - Phone:773-593-9070
Practice Address - Fax:312-941-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-03
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK44554Medicare UPIN
IL546640Medicare ID - Type UnspecifiedMEDICARE