Individual
JOHN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (FAHEY BLDG., RM. 270), MAYWOOD, IL 60153
(708) 216-5102
(708) 216-1699
Mailing address
2160 S FIRST AVE, (FAHEY BLDG., RM. 270), MAYWOOD, IL 60153
(708) 216-5102
(708) 216-1699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36066551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36066551
—
IL
Enumeration date
02/27/2006
Last updated
03/05/2010
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