JARED BLAKE WEISS (NPI# 1215469036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215469036 |
| Entity Type | Individual |
| Full Name | JARED BLAKE WEISS |
| Credential | M.D. |
| Practice Address |
2900 N Lake Shore Dr Chicago IL 60657-5640 |
| Practice Telephone | 7736656730 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396153409 | Jared Weiss | Dentist | 13250 Moorpark St, Unit 6, Sherman Oaks, CA 91423-5120 | 2014-08-01 |
| 1710447164 | Jared Weiss | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2019-03-21 |
| 1376577130 | Jared M Weiss | Internal Medicine | 3400 Spruce St, 16 Penn Tower, Philadelphia, PA 19104-4206 | 2006-07-10 |
| Street Address |
2900 N LAKE SHORE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935663 | Yongsuk - Lertratanakul | Internal Medicine | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2005-07-11 |
| 1932709847 | Ece Ozen | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-10-29 |
| 1366041832 | Maryam Majeed | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-10-25 |
| 1245839729 | Ahmed Abdelfattah | Internal Medicine | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-10-25 |
| 1467068650 | Gunjan Arora | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-22 |
| 1467068502 | Zain Inam Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-22 |
| 1659987683 | Syed Osama Ahmad | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-15 |
| 1649885005 | Biniyam Teka Mohammed | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-12 |
| 1982218095 | Sudha Misra | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-09-04 |
| 1629681499 | Anamol Acharya | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2020-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.