Gary G Wiesman in Chicago - Otolaryngology/facial Plastic Surgery
Gary G Wiesman - NPI 1821191404
Gary G Wiesman is a Otolaryngology/facial Plastic Surgery in Chicago, Illinois. Gary G Wiesman practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Gary G Wiesman is 1821191404. The last update date is 2020-04-09.
Gary G Wiesman's current location address is 712 N Dearborn St, Chicago, Illinois. You can contact this provider via phone number 3127965550 and fax number 3129811292. The mailing address for Gary G Wiesman is 712 N Dearborn St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary G Wiesman |
|---|---|
| Address | 712 N Dearborn St, Chicago, Illinois |
| Phone Number | 3127965550 |
| Fax Number | 3129811292 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821191404 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2020-04-09 |
Provider Mailing Address Detail
| Address | 712 N Dearborn St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606543846 |
| Phone Number | 3127965550 |
| Fax Number | 3129811292 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 36042623 |
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Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36042623 | IL | -- | |
| 1621610 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary G Wiesman by the Centers for Medicare & Medicaid Services?
The Gary G Wiesman has been assigned the NPI (National Provider Identifier) 1821191404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Gary G Wiesman is physically located?
The Gary G Wiesman is physically situated at the following address: 712 N Dearborn St, Chicago, IL, 606543846.
What is the Gary G Wiesman's specialty and taxonomy code?
The Gary G Wiesman's specialty is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821191404 to Gary G Wiesman?
The Gary G Wiesman received its 1821191404 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
When was the information regarding Gary G Wiesman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary G Wiesman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-09.