OrganizationActive
Gary Wiesman MD. Ltd
NPI 1215180757 · Otolaryngology/Facial Plastic Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1215180757
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Wiesman, President(312) 796-5550
- License
- 036042623 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
712 N Dearborn St
Chicago, IL 60654-3846
Phone: (312) 796-5550
Fax: (312) 981-1292
Approximate (ZIP-level) locationGet directions
Mailing address
712 N Dearborn St
Chicago, IL 60654-3846
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2020-04-10
- Certified
- 2020-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.