| Dr Barbara May Wieties-malm, MD | |
|
12935 Gregory St, Blue Island, IL 60406-2428 | |
| (708) 597-2000 | |
| Not Available |
| Full Name | Dr Barbara May Wieties-malm |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 12935 Gregory St, Blue Island, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699753780 | NPI | - | NPPES |
| 01615363 | Other | IL | GROUP PIN |
| 036068572 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036068572 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Barbara May Wieties-malm, MD 3300 127th St, 2nd Floor, Blue Island, IL 60406-3802 Ph: (708) 388-0423 | Dr Barbara May Wieties-malm, MD 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 597-2000 |
Dr. Neel Shah, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Dr. Gregorio M Tolentino Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, Suite M, Blue Island, IL 60406 Phone: 708-396-0910 Fax: 708-388-4354 | |
Russell W. Norwood, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-385-4433 | |
Dr. Lee R Christensen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 |