Individual
DAVID T WECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2535 SOUTH MARTIN LUTHER KING DRIVE, CHICAGO, IL 60616
(312) 842-7117
(312) 326-2102
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036061251
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001616367
BLUE CROSS BLUE SHIELD
IL
01
—
0004075081
AETNA
—
01
—
01379
BLUE CHOICE
IL
05
—
036061251
—
IL
01
—
110041791
RR MEDICARE
—
01
—
362664182
HUMANA
—
Enumeration date
08/20/2006
Last updated
09/29/2022
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