NPI 1003137803

Douglas Wiseman, MD

Practitioner Surgery Physician Chicago, IL

Practice location

Address: 7447 W Talcott Ave STE 427, Chicago, IL 60631-3715
Phone: (773) 990-4024

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036150881 (IL)

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Registry record

NPI: 1003137803
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2010
Record last updated: 28 Oct 2019

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.