Individual
WYATT KOHLER RICE-NARUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, DEPT MAIL CODE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
289452
MA
208600000X
Surgery Physician
Primary
125.079344
IL
Other
Enumeration date
07/09/2021
Last updated
05/24/2022
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