Active NPI
Weili Zhang, D.O.
- Family Medicine Physician
- Macomb, IL
National Provider Identifier
1245526680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036135529
- Practice address
- 515 E Grant St
Suite 213
Macomb, IL 61455-3368 - Phone
- (309) 833-4101
- Fax
- (309) 836-1547
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PG154577 | OR | |
| Family Medicine Physician | 207Q00000X | 036135529 | IL | Primary |
Addresses
Primary practice location
515 E Grant St
Suite 213
Macomb, IL 61455-3368
Mailing address
515 E Grant St
Suite 213
Macomb, IL 61455-3368
Phone (309) 833-4101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036135529 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PG154577 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1245526680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E GRANT ST",
"address_2": "SUITE 213",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553368",
"telephone_number": "309-833-4101",
"fax_number": "309-836-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E GRANT ST",
"address_2": "SUITE 213",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553368",
"telephone_number": "309-833-4101",
"fax_number": "309-836-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "WEILI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "PG154577",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036135529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036135529",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.