Individual
DAVID T WECHTER
Active
Individual
DAVID T WECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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