MARY BERNADETTE WISE (NPI# 1558379495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558379495 |
| Entity Type | Individual |
| Full Name | MARY BERNADETTE WISE |
| Credential | MD |
| Practice Address |
7929 Ogden Ave Lyons IL 60534 |
| Mailing Address |
320 Sunset Ave La Grange IL 60525 |
| Practice Telephone | 7084472238 |
| Practice Fax Number | 7084472264 |
| Mailing Telephone | 7083523849 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419229 | Mary Wise | Speech-Language Pathologist | 1518 Sunnyview Oval, Keasbey, NJ 08832-1050 | 2015-06-15 |
| 1184047565 | Mary Beatty Wise | Nurse Practitioner | 496 Fairfield Ct, Evans, GA 30809-3641 | 2014-01-21 |
| 1487886800 | Mary Anne Wise | Massage Therapist | 3187 Rt 28, Shokan, NY 12481-0052 | 2009-08-18 |
| 1649248550 | Mary Louise Wise | Psychologist | 2 E. Franklin Ave., #6, Mpls, MN 55403 | 2006-03-08 |
| 1861009227 | Mary Wise | Pharmacist | 2057 Charlie Hall Blvd Ste C, Charleston, SC 29414-6164 | 2020-09-29 |
| 1831545086 | Mary Fowler Wise | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2016-05-06 |
| 1881966794 | Mary Helen Wise | Social Worker | 411 W Chapel Hill St, Suite 908, Durham, NC 27701-3616 | 2012-02-08 |
| 1740516913 | Mary C Wise | Occupational Therapist | 1335 Nw Broad St, Murfreesboro, TN 37129-4428 | 2009-10-23 |
| 1558502153 | Mary Felicia Wise | Registered Nurse | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2009-03-12 |
| 1720111768 | Mary Moore Wise | Registered Nurse | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2007-03-13 |
| Street Address |
7929 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 |
| 1164597597 | William J Wise Md Sc | Internal Medicine | 7729 Ogden Ave, Lyons, IL 60534 | 2006-11-21 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| 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.