| Larissa Wietlisbach, | |
|
5841 S Maryland Ave # Mc6035, Chicago, IL 60637-1443 | |
| (773) 702-6302 | |
| Not Available |
| Full Name | Larissa Wietlisbach |
|---|---|
| Gender | Female |
| Speciality | Plastic Surgery |
| Location | 5841 S Maryland Ave # Mc6035, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982352597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 125082534 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Wietlisbach, 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150 | Larissa Wietlisbach, 5841 S Maryland Ave # Mc6035, Chicago, IL 60637-1443 Ph: (773) 702-6302 |
Parit A Patel, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 737 N Michigan Ave Ste 1820, Chicago, IL 60611 Phone: 312-819-5338 Fax: 312-819-5337 | |
Akira Yamada, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Division Of Plastic Surgery, Chicago, IL 60611 Phone: 312-227-6258 Fax: 312-227-9408 | |
Lyndsay Ann Kandi, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-702-6302 Fax: 773-702-1634 | |
Dr. Diane L Gerber, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Pearson St, #2803, Chicago, IL 60611 Phone: 312-280-8707 | |
Stephanie Bond, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-795-1240 | |
Alexandra Polovneff, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S. Maryland Ave., Plastic Surgery Department, Chicago, IL 60637 Phone: 888-824-0200 | |
Emily Jean Miller, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave # Mc2026, Chicago, IL 60637 Phone: 773-702-6024 Fax: 773-702-1161 |