Individual
DR. EZEKIEL TIANYI WEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 926-4068
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.168649
IL
2085R0202X
Diagnostic Radiology Physician
77979
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10036787
—
WI
Enumeration date
03/25/2019
Last updated
02/17/2026
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