Individual
STEPHEN JAMES WIELGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069
(847) 866-7846
(224) 251-4568
Mailing address
920 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069-3839
(847) 866-7846
(224) 251-4568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036126677
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036126677
IL
Other
Enumeration date
08/01/2008
Last updated
02/16/2021
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