IndividualActive
Adam Wise, MD
NPI 1356090534 · Family Medicine Physician · Berwyn, IL
Provider details
- NPI number
- 1356090534
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Mailing address
322 Washington Blvd Apt 1i
Oak Park, IL 60302-4165
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.