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Contact Information

JEROME S WEISKOPF, MD
6533 LEXUS DRIVE
ROCKFORD, IL61108-3015
 Phone: 815-397-4180
 Fax: 815-397-1250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEROME S WEISKOPF · (Male)

NPI Number 1992814628
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 07/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 03652893
  • IL Medicaid 036052893
  • Other 791240158 RAILROAD MEDICARE
  • Other 131087000 US DEPT OF LABOR
  • IL Other 101-00485 BLUE CROSS IF IL
  • WI Other 362958896015 BLUE CROSS OF WI
  • WI Other 31303800 WI PUBLIC AID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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