National Provider Identifier Database

BLAKE A WEIS, MD – NPI #1801236617
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BLAKE A WEIS, MD
611 W PARK ST
URBANA, IL61801
Phone: 217-383-3311
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Internal Medicine 207R00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for BLAKE A WEIS

NPI Number 1801236617
Credentials MD
Entity Individual
Enumeration date 06/26/2013
Last updated 12/04/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 61241
  • IL License #: 036150541
  • MO License #: 2013018930
  • MO License #: 2014034042
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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