Organization
MIDWEST ENDOCRINE SURGERY PC
Active
Other names
Midwest Endocrine Surgery, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WISEMAN MD (SURGEON-OWNER)
(775) 600-9449
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE STE 121, CHICAGO, IL 60631-3712
(775) 600-9449
Mailing address
424 WILLIAMS CT, CLARENDON HILLS, IL 60514-4500
(775) 600-9449
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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