DR. BARBARA MAY WIETIES-MALM MD
NPI 1699753780
Radiology - Diagnostic Radiology in Blue Island, IL

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since January 09, 2006

12935 GREGORY ST, BLUE ISLAND, IL 60406(708) 597-2000 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Barbara May Wieties-malm Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BARBARA MAY WIETIES-MALM MD (NPI 1699753780) is an individual diagnostic radiology provider in Blue Island, Illinois, licensed in Illinois (036068572) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1699753780

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. BARBARA MAY WIETIES-MALMCredential: MD

Location Address12935 GREGORY STBlue Island, IL 60406-2428

Mailing Address3300 127th St, 2nd FloorBlue Island, IL 60406-3802 · (708) 388-0423 · Fax (708) 388-1477

Phone(708) 597-2000

Sole ProprietorNo

Enumeration DateJanuary 9, 2006

Last NPPES UpdateJune 21, 2010

✔ NPI 1699753780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IL · 036068572

Definition

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

12935 GREGORY ST, Blue Island, IL 60406

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Other Identifiers 9

Medicare ID-Type UnspecifiedCI0789IL · Travelers Medicare Group

Medicaid036068572IL

Medicare PIN964290007IL

Medicare ID-Type Unspecified300026083IL · Travelers Medicare

Medicare ID-Type UnspecifiedP03309IL

Other01615363IL · Group Pin

Medicare UPIND89349IL

Medicare PINIL3278003IL

Medicare PIN603160IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SSM REGIONAL HEALTH SERVICES OWNING AND OPERATING ST FRANCIS HOSPITAL

General Acute Care Hospital

12935 GREGORY ST, ADMINISTRATION
BLUE ISLAND, IL 60406

Cook County (708) 597-2000

KATHRYN A. CRAIG M.D.

Emergency Medicine