Organization
EAR INSTITUTE OF CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J WIET MD (PARTNER)
(630) 789-3110
Entity
Organization
Contact information
Practice address
11 SALT CREEK LN, SUITE 101, HINSDALE, IL 60521-2902
(630) 789-3110
(630) 789-3137
Mailing address
11 SALT CREEK LN, SUITE 101, HINSDALE, IL 60521-2902
(630) 789-3110
(630) 789-3137
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
036047459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232139
BCBS
IL
05
—
036085232
—
IL
01
—
040017598
RR MEDICARE
IL
Enumeration date
04/19/2007
Last updated
06/10/2009
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