NPI 1215180757

Gary Wiesman MD. LTD

Organisation Otolaryngology/Facial Plastic Surgery Physician Chicago, IL

Practice location

Address: 712 N Dearborn St, Chicago, IL 60654-3846
Phone: (312) 796-5550
Fax: (312) 981-1292

Authorised official

Name: Gary G Wiesman
Title: President
Phone: (312) 796-5550

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 036042623 (IL)

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Registry record

NPI: 1215180757
Entity type: Organization
NPI issued: 28 Oct 2008
Record last updated: 10 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.