Individual
SUSAN WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 CHEVY CHASE DR, BUFFALO GROVE, IL 60089-2801
(847) 691-2927
Mailing address
15 CHEVY CHASE DR, BUFFALO GROVE, IL 60089-2801
(184) 769-1292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.020452
IL
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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