MR. ROBERT ANTHONY WISDOM


Address: 4444 S Prairie Ave, Chicago, IL 60653-3208
Phone: 9173626997

MR. ROBERT ANTHONY WISDOM (NPI# 1487767117) 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) 1487767117
Entity Type Individual
Full Name MR. ROBERT ANTHONY WISDOM
Credential CRNP
Practice Address 4444 S Prairie Ave
Chicago
IL 60653-3208
Practice Telephone 9173626997
Mailing Telephone 9173626997
Enumeration Date 2006-08-16
Last Update Date 2016-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
942926-6 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
209014169 IL Physician Assistants & Advanced Practice Nursing Providers
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
350263 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROBERT WISDOM

NPI Name Taxonomy Address Enumeration
1063456721 Robert Wisdom Counselor 1558 Hayes Dr, Manhattan, KS 66502-5068 2006-06-15

Office Location

Street Address 4444 S PRAIRIE AVE
City CHICAGO
State IL
Zip Code 60653-3208

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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447697032 Jessica Sue Krause Nurse Practitioner 1750 W Harrison St Fl 6, Chicago, IL 60612-3825 2013-05-23
1982975694 Tiffany Amber Deriggi Nurse Practitioner 3831 N Sacramento Ave, Apt 1, Chicago, IL 60618-3530 2012-01-26
1154590214 Patricia Mary Lumb Nurse Practitioner 2600 Children's Plaza, Chicago, IL 60614 2008-02-22
1841468139 Mimi Noelle Hussussian Nurse Practitioner Children's Memorial Hospital, 2300children's Plaza, Box #253, Chicago, IL 60614 2008-02-20
1225250723 Carolyn Patricia Seng Nurse Practitioner 5721 S. Maryland Ave, Chicago, IL 60637 2007-05-03
1538771340 Jennifer Aileen Burkett Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2020-08-21
1730728320 Beckie Anne Tweedle Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2019-12-30
1508404559 Angel Lampkin-kwabena Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2019-12-19
1083261291 Kathleen Raftery Nurse Practitioner 1653 W Congress Pkwy, Chicago, IL 60612-3833 2019-08-22
1568017101 Trena Lynn Horn Nurse Practitioner 225 E Chicago Ave, Chicago, IL 60611-2991 2019-08-08
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Competitor

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City CHICAGO
Zip Code 60653

Improve Information

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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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