DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IRVIN WIESMAN, MD SC

MEDICARE: IRVIN WIESMAN, MD SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0122XPlastic and Reconstructive Surgery Physician036095961IL

General Provider Information

NPI Number : 1366676645
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRVIN WIESMAN, MD SC
Provider Business Mailing Address
First Line : 712 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-3818
Country : US
Telephone Number : 773-275-5550
Fax Number : 312-981-1292
Provider Business Practice Location Address
First Line : 712 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-3818
Country : US
Telephone Number : 773-275-5550
Fax Number : 312-981-1292
Authorized Official
Title or Position : PRESIDENT
Name : DR. IRVIN M WIESMAN
Credential : MD
Telephone Number : 773-275-5550
Provider Enumeration Date : 05/14/2009
Last Update Date : 11/06/2015

Similar Medicare Providers

1194897587 — DR. IRVIN MICHAEL WIESMAN MD
Practice Location Address:
712 N DEARBORN ST
CHICAGO, IL
60654-3818
Practice Phone: 312-981-1290
Practice Fax: 312-981-1292
1285859595 — WESTERN AVENUE SURGICAL ASSOCIATES, LLC
Practice Location Address:
712 N DEARBORN ST
CHICAGO, IL
60654-3818
Practice Phone: 312-981-1297
Practice Fax:
1003063108 — MEDICOS PAIN & SURGICAL SPECIALISTS, S.C.
Practice Location Address:
712 N DEARBORN ST
CHICAGO, IL
60654-3818
Practice Phone: 773-283-3131
Practice Fax: 773-283-3610
1366671984 — JAIN AUDIOLOGY SPECIALISTS, P.C.
Practice Location Address:
712 N DEARBORN ST
CHICAGO, IL
60654-3818
Practice Phone: 847-452-9659
Practice Fax:
1538481593 — WIESMAN HAND SURGERY LLC
Practice Location Address:
712 N DEARBORN ST
CHICAGO, IL
60654-3818
Practice Phone: 773-275-5550
Practice Fax: 312-981-1292
1124327994 — DEARBORN MEDICAL CONSULTANTS, LLC
Practice Location Address:
712 N DEARBORN ST , SUITE 200
CHICAGO, IL
60654-3818
Practice Phone: 312-280-4700
Practice Fax:

Directions to “IRVIN WIESMAN, MD SC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.