Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jaclyn Sara Weisman, PHD

Individual provider Clinical Psychologist · NPI 1982164869

Dr. Jaclyn Sara Weisman, PHD is a Psychiatry in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954
Phone: (312) 695-5060
Fax: (312) 695-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 912 S Wood St, Chicago, IL 60612 — (312) 996-7385

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071010072 (IL)

Record details

NPI number1982164869
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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