OrganizationActive
William J Wise MD Sc
NPI 1164597597 · General Practice Physician · Lyons, IL
Provider details
- NPI number
- 1164597597
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Wise, Co Owner of Corporation(708) 352-3849
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
7729 Ogden Ave
Lyons, IL 60534
Phone: (708) 447-2238
Fax: (708) 447-2264
Approximate (ZIP-level) locationGet directions
Mailing address
320 Sunset Ave
La Grange, IL 60525-2179
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.