Active NPI
Jeffrey Weinzweig, MD
- Plastic Surgery Physician
- Chicago, IL
National Provider Identifier
1861434805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036123979
- Practice address
- 845 North Michigan Avenue
Suite 980W
Chicago, IL 60611-2218 - Phone
- (312) 642-0400
- Fax
- (312) 642-0500
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 036123979 | IL | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 036123979 | IL |
Addresses
Primary practice location
845 North Michigan Avenue
Suite 980W
Chicago, IL 60611-2218
Mailing address
845 North Michigan Avenue
Suite 980W
Chicago, IL 60611-2218
Phone (312) 642-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131750 | Medicaid | MA |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JW Operatory | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Chicago, IL
- NPI 1477017333
-
- Ambulatory Surgical Clinic/Center
- Chicago, IL
- NPI 1487115804
-
- Surgical Assistant
- Chicago, IL
- NPI 1932664992
-
- Plastic Surgery Physician
- Chicago, IL
- NPI 1922334226
-
- Plastic and Reconstructive Surgery Physician
- Highland Park, IL
- NPI 1578068524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1861434805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 NORTH MICHIGAN AVENUE",
"address_2": "SUITE 980W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112218",
"telephone_number": "312-642-0400",
"fax_number": "312-642-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 NORTH MICHIGAN AVENUE",
"address_2": "SUITE 980W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112218",
"telephone_number": "312-642-0400",
"fax_number": "312-642-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINZWEIG",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036123979",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "IL",
"license": "036123979",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131750",
"state": "MA"
}
],
"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 Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.