WILLIAM J WISE MD SC (NPI# 1164597597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164597597 |
| Entity Type | Organization |
| Organization Name | WILLIAM J WISE MD SC |
| Practice Address |
7729 Ogden Ave Lyons IL 60534 |
| Mailing Address |
320 Sunset Ave La Grange IL 60525-2179 |
| Practice Telephone | 7084472238 |
| Practice Fax Number | 7084472264 |
| Mailing Telephone | 7084472238 |
| Mailing Fax Number | 7084472264 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY B WISE (CO OWNER OF CORPORATION) |
| Authorized Official Telephone | 7083523849 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| X | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
7729 OGDEN AVE |
| City | LYONS |
| State | IL |
| Zip Code | 60534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729520 | Marcelina Alvarez | Speech-Language Pathologist | 4204 Rose Ave, Lyons, IL 60534 | 2017-09-14 |
| 1720455983 | Team Rehabilitation Il05, LLC | Physical Therapist | 8317 Ogden Avenue, Lyons, IL 60534 | 2015-08-24 |
| 1457477556 | Cynthia Marie Sodini | Social Worker | 8645 45th Street, Lyons, IL 60534 | 2007-03-21 |
| 1558379495 | Mary Bernadette Wise | General Practice | 7929 Ogden Ave, Lyons, IL 60534 | 2006-08-04 |
| 1235165457 | Ronald James Losiewicz | Chiropractor | 3840 S Harlem Avenue, Lyons, IL 60534 | 2006-06-23 |
| 1902381122 | Sara Sabadosa | Physical Therapist | 8317 Ogden Avenue, Lyons, IL 60534 | 2018-10-03 |
| 1669410080 | Julie K Miyamasu | Nurse Practitioner | 4101 1st Ave, Lyons, IL 60534-1028 | 2006-06-04 |
| 1962000851 | Kwame Owusu-banahene | Pharmacist | 4101 1st Ave, Lyons, IL 60534-1028 | 2020-10-13 |
| 1285101550 | Laura E Kukulski | Nurse Practitioner | 4101 1st Ave, Lyons, IL 60534-1028 | 2018-10-25 |
| 1679968648 | Lisa Paturzo | Pharmacist | 4101 1st Ave, Lyons, IL 60534-1028 | 2015-04-06 |
| Find all providers in zip 60534 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558375311 | Evelyn R. Hwang | Internal Medicine | 151 Knollcroft Rd, Vanjhcs, Lyons, NJ 07939-5001 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.