Active NPI
Courtney Weems, M.D.
- Pediatrics Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036132165
- Practice address
- 3916 N Damen Ave
Chicago, IL 60618 - Phone
- (773) 644-1362
- Fax
- (773) 828-4849
- NPI assigned
- Jun 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036132165 | IL | Primary |
Addresses
Primary practice location
3916 N Damen Ave
Chicago, IL 60618
Mailing address
3916 N Damen Ave
Chicago, IL 60618-3906
Phone (773) 644-1362
Other practice location 1
909 Davis St Ste 200
Evanston, IL 60201-3664
Phone (847) 866-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036132165 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Single Specialty | Current | Accepting new patients |
| Endeavor Health Medical Group | Single Specialty | Current | Accepting new patients |
| Donohoe Pediatrics LTD. | Single Specialty | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
909 Davis St
Ste 200
Evanston, IL 60201
Phone (847) 866-3700
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
Interoperability endpoints
- courtney.weems@199582864048132.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1427369362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183906",
"telephone_number": "773-644-1362",
"fax_number": "773-828-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60618",
"telephone_number": "773-644-1362",
"fax_number": "773-828-4849"
}
],
"practiceLocations": [
{
"address_1": "909 Davis St Ste 200",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602013664",
"country_code": "US",
"telephone_number": "847-866-3700",
"fax_number": "847-866-3731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEEMS",
"first_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036132165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.