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

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: August 09, 2026.

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
Open in Google Maps ↗

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.

BLUE ISLAND PATHOLOGY LTD
Pathology (Cytopathology)
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
BLUE ISLAND RADIOLOGY CONSULTANTS
Radiology (Diagnostic Radiology)
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
BLUE ISLAND HOSPITAL COMPANY LLC
General Acute Care Hospital
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
STEPHANIE HARRIS APPLEBAUM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
ANTHONY EDWARD FALCON PA-C
Physician Assistant
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
STEVEN KLUCK PA-C
Physician Assistant
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
DANIEL JAMES FITZGERALD M.D.
Family Medicine
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000
DR. JEFFREY BZDUSEK DO
Emergency Medicine
12935 GREGORY ST
BLUE ISLAND, IL 60406
Cook County (708) 597-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Wieties-malm's NPI number?

The NPI number for Barbara Wieties-malm is 1699753780. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Barbara Wieties-malm located?

Barbara Wieties-malm practices at 12935 Gregory St, Blue Island, IL 60406. The listed phone number is (708) 597-2000.

What is Barbara Wieties-malm's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Barbara Wieties-malm was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.