Individual
DR. HERSHEL L WIX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 W HIGH ST LOWR LEVEL, MORRIS, IL 60450-1407
(815) 705-1000
(815) 705-2709
Mailing address
21407 W COUNTY RD, WILMINGTON, IL 60481-8746
(815) 216-0186
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036051497
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051497
—
IL
Enumeration date
05/24/2006
Last updated
08/15/2022
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