Kristin Marie Wiese, MD | |
100 Spalding Dr Ste 102, Naperville, IL 60540-6551 | |
(630) 871-6699 | |
Not Available |
Full Name | Kristin Marie Wiese |
---|---|
Gender | Female |
Speciality | Pulmonary Disease |
Experience | 15 Years |
Location | 100 Spalding Dr Ste 102, Naperville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619103280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 036.130309 (Illinois) | Primary |
207R00000X | Internal Medicine | 125:056429 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Edward Hospital | Naperville, IL | Hospital |
Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Dupage Medical Group Ltd | 5496667941 | 1186 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Dupage Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Entity Name | Edward Health Ventures |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Kristin Marie Wiese, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Kristin Marie Wiese, MD 100 Spalding Dr Ste 102, Naperville, IL 60540-6551 Ph: (630) 871-6699 |
Ehab Ghassan Dababneh, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St Fl 4, Naperville, IL 60540 Phone: 630-600-0700 Fax: 630-600-0701 | |
Dinesh Jain, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1243 Rickert Dr, Naperville, IL 60540 Phone: 630-527-6450 Fax: 630-527-6456 | |
Ravi Nemivant, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Spalding Dr, Ste 102, Naperville, IL 60540 Phone: 630-871-6699 | |
Dr. Hoda A. El- Asmar, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 801 S Washington St, Edward Hospital, Administration, Vpma Office, Naperville, IL 60540 Phone: 630-527-5647 Fax: 630-527-3702 | |
Gregory Trevino, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 608 S Washington St Ste 201, Naperville, IL 60540 Phone: 630-717-2630 | |
Dr. Mark F Daniels, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 100 Spalding Dr, Ste 208, Naperville, IL 60540 Phone: 630-355-8000 | |
Rafael Piedra, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 100 Spalding Dr, Ste 208, Naperville, IL 60540 Phone: 630-717-2600 |