Individual
THOMAS A WIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 N MICHIGAN AVE, STE 700, CHICAGO, IL 60611-6662
(312) 337-6960
(312) 337-3601
Mailing address
737 N MICHIGAN AVE, STE 700, CHICAGO, IL 60611-6662
(312) 337-6960
(312) 337-3601
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
36074824
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074824
—
IL
Enumeration date
04/05/2006
Last updated
12/01/2009
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