Individual
JOHN WIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
676 N MICHIGAN AVE, SUITE 3850, CHICAGO, IL 60611-2883
(312) 642-9816
Mailing address
676 N MICHIGAN AVE, SUITE 3850, CHICAGO, IL 60611-2883
(312) 642-9816
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
385.004104
IL
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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