Individual
ANDREW JAMES WIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
177 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(630) 646-2273
Mailing address
177 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(630) 646-2273
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036.156259
IL
390200000X
Student in an Organized Health Care Education/Training Program
11017728A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.156259
IL MEDICAL LICENSE NUMBER
IL
Enumeration date
06/05/2014
Last updated
07/16/2021
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