Jerome S Weiskopf in Rockford - Plastic And Reconstructive Surgery

Jerome S Weiskopf - NPI 1992814628

Jerome S Weiskopf is a Plastic And Reconstructive Surgery in Rockford, Illinois. Jerome S Weiskopf practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Jerome S Weiskopf is 1992814628. The last update date is 2008-07-25.

Jerome S Weiskopf's current location address is 6533 Lexus Drive, Rockford, Illinois. You can contact this provider via phone number 8153974180 and fax number 8153971250. The mailing address for Jerome S Weiskopf is 6533 Lexus Drive, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome S Weiskopf
Address 6533 Lexus Drive, Rockford, Illinois
Phone Number 8153974180
Fax Number 8153971250
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1992814628
Provider Enumeration Date 2006-08-29
Last Updated Date 2008-07-25

Provider Mailing Address Detail

Address 6533 Lexus Drive
City Rockford
State Illinois (IL)
Post Code 611083015
Phone Number 8153974180
Fax Number 8153971250

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No 3652893
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
362958896015 WI BLUE CROSS OF WI
131087000 US DEPT OF LABOR
101-00485 IL BLUE CROSS IF IL
36052893 IL --
31303800 WI WI PUBLIC AID
791240158 RAILROAD MEDICARE

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FAQs about Jerome S Weiskopf

What is the Jerome S Weiskopf's 1992814628?

The Jerome S Weiskopf's NPI (National Provider Identifier) Number is 1992814628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jerome S Weiskopf's facilities are situated?

The facilities of Jerome S Weiskopf are physically located at the following address: 6533 Lexus Drive, Rockford, IL, 611083015.

What is the Jerome S Weiskopf's specialty and taxonomy code?

The Jerome S Weiskopf's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.

On what date was the 1992814628 assigned to Jerome S Weiskopf?

The Jerome S Weiskopf was issued its 1992814628 on 2006-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jerome S Weiskopf last refreshed?

The information related to the Jerome S Weiskopf, including its address, specialty, and other relevant details, was last updated on 2008-07-25.

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