Individual
DR. MARGARET ANNE WIEDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 N RAVENSWOOD AVE FL 2, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Mailing address
4600 N RAVENSWOOD AVE FL 2, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-059639
IL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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