Individual provider Active NPI

Jeffrey Weinzweig, MD

  • Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1861434805
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036123979 Issued in IL
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

Updated by the provider on Oct 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0131750MedicaidMA

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.