Individual
DR. AARON J WIELENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-2696
(708) 783-3164
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-2696
(708) 783-3164
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-111164
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-111169
—
IL
Enumeration date
03/16/2007
Last updated
12/29/2010
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