Organization
C. WISEMAN, MD MPH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY NEMETH WISEMAN MD, MPH (PRESIDENT)
(630) 305-8545
Entity
Organization
Contact information
Practice address
445 JACKSON AVE, SUITE 103, NAPERVILLE, IL 60540-5256
(630) 305-8545
(630) 305-8549
Mailing address
445 JACKSON AVE, SUITE 103, NAPERVILLE, IL 60540-5256
(630) 305-8545
(630) 305-8549
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
036110547
IL
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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