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Individual

DR. MELVIN WICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11824 SOUTHWEST HWY, SUITE 100, PALOS HEIGHTS, IL 60463-1055
(708) 361-0222
(708) 361-4536
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036055569
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036055569
IL
Enumeration date
08/08/2006
Last updated
07/15/2022
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