Dr Gary G Wiesman, MD | |
712 N Dearborn St, Chicago, IL 60654-3846 | |
(312) 796-5550 | |
(312) 981-1292 |
Full Name | Dr Gary G Wiesman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 56 Years |
Location | 712 N Dearborn St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821191404 | NPI | - | NPPES |
036042623 | Medicaid | IL | |
01621610 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 036042623 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Anthony Hospital | Chicago, IL | Hospital |
Entity Name | Humboldt Park Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704 |
Entity Name | Mount Sinai Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
Entity Name | Saint Anthony Health Affiliates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881086064 PECOS PAC ID: 1254321474 Enrollment ID: O20040518000419 |
Entity Name | Gary Wiesman Md Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215180757 PECOS PAC ID: 1355403965 Enrollment ID: O20090223000502 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary G Wiesman, MD 712 N Dearborn St, Chicago, IL 60654-3846 Ph: (312) 796-5550 | Dr Gary G Wiesman, MD 712 N Dearborn St, Chicago, IL 60654-3846 Ph: (312) 796-5550 |
Dr. Whitney E. Liddy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 15-200, Chicago, IL 60611 Phone: 312-695-4679 | |
Robert Kern, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Dr. Elias M Michaelides, M. D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 W Harrison St Ste 550, Chicago, IL 60612 Phone: 312-942-6100 | |
Dr. Paavali Akseli Hannikainen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 | |
Ramez Philips, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Dr. Stephen Yeh Jr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3860 West Ogden Avenue, Chicago, IL 60623 Phone: 872-588-3000 Fax: 847-998-0483 | |
Aimee Adair Kennedy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Mc 1035, E-102, Chicago, IL 60637 Phone: 773-795-3158 |