Individual
GREGORY ALAN WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
7447 W TALCOTT AVE, STE 451, CHICAGO, IL 60631-3745
(773) 763-3990
(773) 763-6346
Mailing address
7447 W TALCOTT AVE, STE 451, CHICAGO, IL 60631-3745
(773) 763-3990
(773) 763-6346
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623188
BCBS
IL
Enumeration date
10/02/2006
Last updated
07/08/2007
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