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Jerome S Weiskopf, MD
Plastic and Reconstructive Surgery Physician in Rockford, Illinois
NPI 1992814628

Jerome S Weiskopf is a Plastic and Reconstructive Surgery Physician based in Rockford, IL and is specialized in Plastic and Reconstructive Surgery. Jerome S Weiskopf practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Jerome S Weiskopf is 1992814628 and holds a License No. 03652893 (Illinois).

The current practice location address for Jerome S Weiskopf is 6533 Lexus Drive, Rockford, IL and can be reached out via phone at 815-397-4180 and via fax at 815-397-1250.

Location: 6533 Lexus Drive, Rockford, IL, 61108-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992814628
Provider Name
Jerome S Weiskopf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6533 Lexus Drive, Rockford, IL, 61108-3015
Phone Number
815-397-4180
Fax Number
815-397-1250
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362958896015 01 WI BLUE CROSS OF WI
131087000 01 US DEPT OF LABOR
101-00485 01 IL BLUE CROSS IF IL
036052893 05 IL
31303800 01 WI WI PUBLIC AID
791240158 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6533 Lexus Drive
City
Rockford
State
Illinois
Zip
61108-3015
Phone Number
815-397-4180
Fax Number
815-397-1250
person
Provider Business Mailing Address Details
Address
6533 Lexus Drive
City
Rockford
State
Illinois
Zip
61108-3015
Phone Number
815-397-4180
Fax Number
815-397-1250
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
03652893 (Illinois)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
03652893 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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