John Wieser
Pediatrics in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1982307997
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1982307997
- Entity type
- Individual (NPI-1)
- Name
- John Wieser
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 125081234 | IL | Yes |
Practice location
4220 W 95th StOak Lawn, IL 60453-2793
Phone 314-949-4200
Mailing address
4220 W 95th StOak Lawn, IL 60453-2793
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All 120 Pediatrics Physician providers in Oak Lawn · All 3,523 providers in Oak Lawn
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