Individual
STEPHAN G WYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
396 REMINGTON BLVD STE 240, BOLINGBROOK, IL 60440-4307
(630) 226-0664
Mailing address
396 REMINGTON BLVD STE 240, BOLINGBROOK, IL 60440-4307
(630) 226-0664
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036093921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093921
—
IL
Enumeration date
12/22/2006
Last updated
03/18/2021
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