DR. MARY S WENZEL


Address: 3730 N Lake Shore Dr, Chicago, IL 60613-4236
Phone: 8478691808

DR. MARY S WENZEL (NPI# 1184934036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184934036
Entity Type Individual
Full Name DR. MARY S WENZEL
Credential MD
Practice Address 3730 N Lake Shore Dr
Chicago
IL 60613-4236
Mailing Address 1029 Howard St
Evanston
IL 60202-3877
Practice Telephone 8478691808
Mailing Telephone 8478691808
Enumeration Date 2010-10-13
Last Update Date 2012-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
36-57218 IL Allopathic & Osteopathic Physicians

Other Providers MARY WENZEL

NPI Name Taxonomy Address Enumeration
1619231685 Mary E Wenzel Occupational Therapist 5815 Libbey Ln, Houston, TX 77092-5021 2012-06-25

Office Location

Street Address 3730 N LAKE SHORE DR
City CHICAGO
State IL
Zip Code 60613-4236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003025891 William Edmond Gerardi Internal Medicine 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613-4204 2007-05-21
1518360155 Arthur Kohrman Pediatrics 3730 N Lake Shore Dr, Apt. 3a, Chicago, IL 60613-4236 2014-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588261978 Thorek Radiology Group Nfp Radiology 850 West Irving Park Road, Chicago, IL 60613 2020-10-08
1760034128 Maryellen Karas Lajeunesse Social Worker 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 2019-07-15
1801366430 Stephanie A Dykema Psychologist 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 2018-11-27
1487154191 Alan Tsang Counselor 655 W Irving Park Rd Ste 203, Chicago, IL 60613 2018-02-19
1972015782 Integrated Ortho, LLC. Durable Medical Equipment & Medical Supplies 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 2017-11-02
1073048005 Claire Jolly Social Worker 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 2017-04-27
1730626011 Marc Fagan Psychologist 4101 N Ravenswood Ave., Chicago, IL 60613 2017-01-25
1205385671 Sara Turner Psychologist 3855 N Greenview Ave # 2a, Chicago, IL 60613 2016-09-27
1962955997 Michelle Montero Psychologist 925 W Dakin St Apt 405, Chicago, IL 60613 2016-07-26
1063883494 Athletico, Ltd Physical Therapist 3922 North Sheridan Rd, Chicago, IL 60613 2015-10-12
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184189672 Calumet Counseling and Dui Services,inc Internal Medicine 1010 W 95th St, Chicago, IL 60643-1522 2019-02-08
1376819565 Sahar Eftekhar Internal Medicine 1 E Superior St Ste 306, Chicago, IL 60611-2595 2012-04-01
1942585468 Ngu Md. Wellness Ltd. Internal Medicine 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 2011-10-15
1194824797 Charles S Gilbert Jr Internal Medicine 2600 S Michigan Ave, Suite 410, Chicago, IL 60616-2857 2006-09-21
1598879223 Michael D Baldinger Internal Medicine 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033343132 Richard Joseph Wallyn Internal Medicine 1300 Brassie Ave., Flossmoor, IL 60422-1812 2009-05-05
1477752160 Arthur Hoffman Internal Medicine 2652 Broadway Ave, Evanston, IL 60201 2007-07-13
1659300796 Abhin Singla Internal Medicine 801 N Larkin Ave Ste 101, Joliet, IL 60435 2006-07-01
1841238979 Mysore N Shivaram Internal Medicine 6901 Cermak Rd, Berwyn, IL 60402-2160 2006-06-02
1659342665 Albert C Tanlim Internal Medicine 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 2006-01-28
1407395346 Bhs Physician Services of Illinois PC Internal Medicine 1237 E 1600 North Rd, Gilman, IL 60938-6112 2017-02-13
1588929525 Opioid Addiction Recovery Services PC Internal Medicine 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 2012-07-05
1679888341 Mysore N Shivaram Md Sc Internal Medicine 6901 Cermak Rd, Berwyn, IL 60402-2160 2010-08-18
1487798955 Clinical Associates In Medicine, LLC Internal Medicine 801 N Larkin Ave Ste 101, Joliet, IL 60435 2007-02-17
1235153677 Kirk Moberg Internal Medicine 602 W University Avenue, Administration, Urbana, IL 61801 2006-07-27
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Competitor

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City CHICAGO
Zip Code 60613

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Dataset Information

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.

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