Individual
DR. ANDREW R VISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-070360
IL
207RN0300X
Nephrology Physician
Primary
036.155824
IL
208000000X
Pediatrics Physician
125-070360
IL
2080P0210X
Pediatric Nephrology Physician
036.155824
IL
Other
Enumeration date
06/09/2017
Last updated
03/14/2025
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