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Dr. Gary G Wiesman, MD
Otolaryngology/Facial Plastic Surgery Physician in Chicago, Illinois
NPI 1821191404

Gary G Wiesman is a Otolaryngology/Facial Plastic Surgery Physician based in Chicago, IL and is specialized in Otolaryngology/Facial Plastic Surgery. Gary G Wiesman practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Gary G Wiesman is 1821191404 and holds a License No. 036042623 (Illinois).

The current practice location address for Gary G Wiesman is 712 N Dearborn St, Chicago, IL and can be reached out via phone at 312-796-5550 and via fax at 312-981-1292.

Location: 712 N Dearborn St, Chicago, IL, 60654-3846
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Provider Profile Details
NPI Number
1821191404
Provider Name
Gary G Wiesman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
712 N Dearborn St, Chicago, IL, 60654-3846
Phone Number
312-796-5550
Fax Number
312-981-1292
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036042623 05 IL
01621610 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
712 N Dearborn St
City
State
Zip
60654-3846
Phone Number
312-796-5550
Fax Number
312-981-1292
person
Provider Business Mailing Address Details
Address
712 N Dearborn St
City
State
Zip
60654-3846
Phone Number
312-796-5550
Fax Number
312-981-1292
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
036042623 (Illinois)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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