MR. GLENN L WEISS (NPI# 1306807730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306807730 |
| Entity Type | Individual |
| Full Name | MR. GLENN L WEISS |
| Credential | MD |
| Practice Address |
College and University 2540 Normal IL 61790-2540 |
| Practice Telephone | 3094382956 |
| Practice Fax Number | 3094383689 |
| Mailing Telephone | 3094382956 |
| Mailing Fax Number | 3094383689 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AW8656487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619950920 | Glenn S. Weiss | Pharmacist | 1220 3rd St, Whitehall, PA 18052-4905 | 2005-11-22 |
| 1568512069 | Glenn A Weiss | Family Medicine | 650 W Algonquin Rd, Des Plaines, IL 60016-5768 | 2007-01-10 |
| 1578674222 | Glenn Weiss | Social Worker | 1401 Mchenry Rd, Suite #122, Buffalo Grove, IL 60089-1382 | 2006-08-31 |
| 1265410963 | Glenn B Weiss | Podiatrist | 57 W 57th St, Suite1106, New York, NY 10019-2802 | 2006-01-04 |
| Street Address |
COLLEGE AND UNIVERSITY 2540 |
| City | NORMAL |
| State | IL |
| Zip Code | 61790-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987450 | Dennis W Cappitelli | Pediatrics | College and University 2540, Normal, IL 61790-2540 | 2006-03-23 |
| 1215998646 | Stephanie E Tate | Internal Medicine | College and University 2540, Normal, IL 61790-2540 | 2006-03-28 |
| 1811957152 | Linda S Moorhead | Family Medicine | College and University 2540, Normal, IL 61790-2540 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478714 | Noelle Selkow | Specialist/Technologist | 251c Mcormick Hall, Campus Box 5120, Normal, IL 61790 | 2016-06-15 |
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1912263815 | Kelly Haley | Specialist/Technologist | 7130 Horton Fieldhouse, Normal, IL 61790 | 2012-04-04 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1578161865 | Abigail Hardesty | Nurse Practitioner | 201 Illinois State Univ, Normal, IL 61790-0001 | 2020-10-09 |
| 1245846989 | Susan M Carl | Nurse Practitioner | 201 North University Street, Normal, IL 61790-0001 | 2020-09-18 |
| 1891336277 | Rebecca Ludolph | Registered Nurse | 201 N University, Normal, IL 61790-0001 | 2019-10-07 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| Find all providers in zip 61790 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710070289 | Phoebe Panopio | Internal Medicine | 2010 Jacobssen Drive, Normal, IL 61761 | 2006-10-02 |
| 1114945912 | Marlito P. Favila | Internal Medicine | 1437 E College Ave, Normal, IL 61761-2085 | 2006-07-18 |
| 1689672859 | William John Ray | Internal Medicine | 2005 Jacobssen Dr, Ste A, Normal, IL 61761 | 2005-07-12 |
| 1982045209 | Gurpreet Singh | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2013-07-15 |
| 1356634547 | Marwa El Mourabet | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2011-05-19 |
| 1336384460 | Muhammad S Akhtar | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2008-12-03 |
| 1881840080 | Liza Carolina Yambay Valiente | Internal Medicine | 1302 Franklin Ave, Suite 1100, Normal, IL 61761-3551 | 2008-08-07 |
| 1033372727 | Robert Edward Clark | Internal Medicine | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2008-07-03 |
| 1255353660 | Dru D. Hauter | Internal Medicine | 1437 E College Ave, Normal, IL 61761-2085 | 2006-07-24 |
| 1912928805 | Caroline M. Halperin | Internal Medicine | 1302 Franklin Ave Lowr Level, Normal, IL 61761-3551 | 2006-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.