Individual
DANIEL WENZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, DEPT OF RADIOLOGY, EVANSTON, IL 60201-1718
(847) 570-2000
Mailing address
2650 RIDGE AVE, DEPT OF RADIOLOGY, EVANSTON, IL 60201-1718
(847) 570-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.115098
IL
Other
Enumeration date
06/23/2008
Last updated
07/19/2012
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