Organization
JOSEPH P WYSE MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P WYSE M.D. (PRESIDENT)
(847) 679-6707
Entity
Organization
Contact information
Practice address
4905 OLD ORCHARD CENTER, SKOKIE, IL 60077-1425
(847) 679-6707
(847) 679-6721
Mailing address
4905 OLD ORCHARD CENTER, SKOKIE, IL 60077-1425
(847) 679-6707
(847) 679-6721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085283I
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605363
BCBS
—
Enumeration date
03/19/2008
Last updated
03/19/2008
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