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Dr. Jeffrey Wayne Wise, AuD

Audiologist in Evanston, IL. Individual provider (NPI-1).

NPI number1164043188
StatusActive
Last updated in NPPESOct 11, 2023

Details

NPI
1164043188
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey Wayne Wise
Credential
AuD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2020
Certification date
Oct 11, 2023
Last updated
Oct 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist––Yes

Practice location

731 Chicago Ave
Evanston, IL 60202-2310

Phone 224-350-2550

Mailing address

731 Chicago Ave
Evanston, IL 60202-2310

Phone 224-350-2550

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