DAVID THOMAS WYMER


Address: 680 N Lake Shore Dr, Chicago, IL 60611-4546
Phone: 3126956868

DAVID THOMAS WYMER (NPI# 1629497870) 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) 1629497870
Entity Type Individual
Full Name DAVID THOMAS WYMER
Credential M.D.
Practice Address 680 N Lake Shore Dr
Chicago
IL 60611-4546
Mailing Address 4300 Alton Rd
Miami Beach
FL 33140-2948
Practice Telephone 3126956868
Mailing Telephone 3055357901
Mailing Fax Number 3056742787
Enumeration Date 2014-04-15
Last Update Date 2019-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036.148590 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1600 Sw Archer Rd, Gainesville, FL 326103003 3522650239 3522651107
4300 Alton Rd, Miami Beach, FL 331402948 3055357901 3056742787

Other Providers DAVID WYMER

NPI Name Taxonomy Address Enumeration
1609847037 David Cole Wymer Radiology 1601 Sw Archer Rd, Gainesville, FL 32608-1135 2006-02-01

Office Location

Street Address 680 N LAKE SHORE DR
City CHICAGO
State IL
Zip Code 60611-4546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427052885 Jeanette A. Dubay-mcdermit Nurse Anesthetist, Certified Registered 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 2005-06-13
1023621406 Akshar Patel Student in an Organized Health Care Education/Training Program 680 N Lake Shore Dr, Tower Apt 720, Chicago, IL 60611 2020-08-26
1952873267 Kimberly Sumislawski Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-12-27
1598251571 Asia Giammarco Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-07-02
1497253256 Samantha M C Tan Nurse Practitioner 680 N Lake Shore Dr, Chicago, IL 60611-4546 2018-01-26
1871040642 Kathleen Dady Genetic Counselor, MS 680 N Lake Shore Dr, Suite 1230, Chicago, IL 60611-4546 2016-09-08
1205382496 Rachel Green Dunn Nurse Practitioner 680 N Lake Shore Dr, Suite 117, Chicago, IL 60611-4546 2016-08-29
1730634791 Kelly Elizabeth Smyth Physician Assistant 680 N Lake Shore Dr, Chicago, IL 60611 2016-08-19
1982158036 Patricia Gale, Md, S.c. Clinic/Center 680 N Lake Shore Dr, Suite 930, Chicago, IL 60611-4546 2016-08-06
1013460930 Julia Goldin Registered Nurse 680 N Lake Shore Dr, Chicago, IL 60611-4546 2016-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1245854033 Danielle Humphrey Student in an Organized Health Care Education/Training Program Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 2020-06-08
1801418074 Sana Healing Collective Clinic/Center 405 N. Wabash Street, Chicago, IL 60611 2020-05-11
1194359489 Insight:eating Disorders, Weight Management & Psychological Centers Psychiatric Hospital 1 E. Erie Street, 4th Floor, Chicago, IL 60611 2020-02-26
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1922643576 Sarah Elizabeth Schwartzer Audiologist Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 2019-11-07
1023668852 Anne Marguerite Davidson Student in an Organized Health Care Education/Training Program Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 2019-09-13
1871141085 Coast Management Durable Medical Equipment & Medical Supplies 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 2019-08-30
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376196220 Parvathamma Imaging Services, LLC Radiology 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 2019-07-19
1225516842 Tyler Jonathan Hinkel Radiology 33 W Ontario St Apt 46f, Chicago, IL 60654 2018-08-06
1366976631 Ali Mostafa Serhal Radiology 240 E. Huron St, Suite 1-203, Chicago, IL 60617 2017-04-13
1790132934 Peter Barton Moreau Radiology 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 2016-05-18
1043678899 Burce Ozgen Mocan Radiology 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 2016-02-08
1538552898 Imo Ime Uko Radiology 4646 N Marine Dr Ste 7100, Chicago, IL 60640 2015-03-11
1962891739 Katherine Conlon Radiology 240 E Huron St # 1-203, Chicago, IL 60611 2015-01-16
1861805871 Arun Nagaraju Radiology 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 2014-06-06
1568873529 Emily Ghobadi Radiology 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 2014-05-13
1306266903 Jessica Kristen Peterson Radiology 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 2014-04-22
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60611

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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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