JARED BLAKE WEISS M.D. NPI 1215469036

NPI Information

  • NPI: 1215469036
  • Provider Name: JARED BLAKE WEISS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 676 N SAINT CLAIR ST
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 695-1292

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NPI Details

Jared Blake Weiss, M.D. is a diagnostic radiology radiology in Chicago, IL with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jared Blake Weiss, M.D. NPI is 1215469036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2017

The provider's business location address is:

676 N SAINT CLAIR ST
CHICAGO, IL
ZIP 60611-927
Phone: (312) 695-1292

The NPI 1215469036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 6/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology036.160070ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32085R0202XRadiologyDiagnostic Radiology036.160070ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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