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Dr. Barbara May Wieties-malm, MD
Diagnostic Radiology Physician in Blue Island, Illinois
NPI 1699753780

Barbara May Wieties-malm is a Diagnostic Radiology Physician based in Blue Island, IL and is specialized in Diagnostic Radiology. Barbara May Wieties-malm practices in Blue Island, IL and has the professional credentials of MD. The NPI Number for Barbara May Wieties-malm is 1699753780 and holds a License No. 036068572 (Illinois).

The current practice location address for Barbara May Wieties-malm is 12935 Gregory St, Blue Island, IL and can be reached out via phone at 708-597-2000.

Location: 12935 Gregory St, Blue Island, IL, 60406-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699753780
Provider Name
Barbara May Wieties-malm
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12935 Gregory St, Blue Island, IL, 60406-3802
Phone Number
708-597-2000
Fax Number
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01615363 01 IL GROUP PIN
036068572 05 IL
institution
Provider Business Practice Location Address Details
Address
12935 Gregory St
City
Blue Island
State
Illinois
Zip
60406-2428
Phone Number
708-597-2000
Fax Number
person
Provider Business Mailing Address Details
Address
12935 Gregory St
City
Blue Island
State
Illinois
Zip
60406-2428
Phone Number
708-597-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036068572 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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