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NPI Code Detail

MEDICARE: JAMES NICHOLAS WESTON PA-C

MEDICARE: JAMES NICHOLAS WESTON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085-002579IL
2363AS0400XSurgical Physician Assistant085002579IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00409001OTHERILMEDICARE RAILROAD

General Provider Information

NPI Number : 1326014648
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES NICHOLAS WESTON PA-C
Provider Business Mailing Address
First Line : 2650 RIDGE AVE # 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-733-5315
Provider Business Practice Location Address
First Line : 3021 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4419
Country : US
Telephone Number : 872-843-0550
Fax Number : 872-873-9070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 12/23/2025

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