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Organization
JOHN M. WIELAND, LTD,
Active
Organization
JOHN M. WIELAND, LTD,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL WIELAND J.D., M.D. (PRESIDENT)
(847) 998-9510
Entity
Organization
Contact information
Practice address
3633 WEST LAKE AVE., SUITE 307, GLENVIEW, IL 60026-5805
(847) 998-9510
(847) 998-9512
Mailing address
3633 W LAKE AVE, SUITE 307, GLENVIEW, IL 60026-5805
(847) 998-9510
(847) 998-9512
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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