Amy L Wiesch is a Podiatrist in Bourbonnais, Illinois. Amy L Wiesch practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Amy L Wiesch is 1396733549. The last update date is 2008-05-12.
Amy L Wiesch's current location address is 11 Briarcliff Prof Ctr, Bourbonnais, Illinois. You can contact this provider via phone number 8159337077 and fax number 8159334430. The mailing address for Amy L Wiesch is 11 Briarcliff Prof Ctr, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy L Wiesch |
|---|---|
| Address | 11 Briarcliff Prof Ctr, Bourbonnais, Illinois |
| Phone Number | 8159337077 |
| Fax Number | 8159334430 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1396733549 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 11 Briarcliff Prof Ctr |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609141775 |
| Phone Number | 8159337077 |
| Fax Number | 8159334430 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16005119 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16005119 | IL | -- |
Post Comment/ Review Below
What is the Amy L Wiesch's unique identification number?
The Amy L Wiesch has been assigned the NPI (National Provider Identifier) Number 1396733549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Amy L Wiesch's facilities are geographically located?
The facilities of Amy L Wiesch are physically situated at the following location: 11 Briarcliff Prof Ctr, Bourbonnais, IL, 609141775.
What is Amy L Wiesch's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amy L Wiesch is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date was the 1396733549 assigned to Amy L Wiesch?
The Amy L Wiesch was issued its 1396733549 on 2005-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Amy L Wiesch most recently updated or revised?
The information pertaining to Amy L Wiesch, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-12.