Individual
PAULINE K WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27W170 SAINT CHARLES RD, CAROL STREAM, IL 60188-1935
(630) 231-9400
(630) 231-2736
Mailing address
27W170 SAINT CHARLES RD, CAROL STREAM, IL 60188-1935
(630) 231-9400
(630) 231-2736
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
036088334
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088334
—
IL
01
—
260027994
RAILROAD MEDICARE
IL
Enumeration date
11/30/2006
Last updated
10/11/2012
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