| Pauline K. Wiener, M.d., S.c. | |
|
27w350 High Lake Rd Winfield IL 60190-1262 | |
| (630) 682-2746 | |
| (630) 681-8657 |
| Full Name | Pauline K. Wiener, M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 27w350 High Lake Rd, Winfield, Illinois |
| Authorized Official Name and Position | Pauline K Wiener (PRESIDENT) |
| Authorized Official Contact | 6306822746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pauline K. Wiener, M.d., S.c. 1n681 Bob O Link Dr Winfield IL 60190-2326 Ph: (630) 682-2746 | Pauline K. Wiener, M.d., S.c. 27w350 High Lake Rd Winfield IL 60190-1262 Ph: (630) 682-2746 |
| NPI Number | 1215143250 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/14/2007 |
| Medicare PECOS PAC ID | 9032208756 |
|---|---|
| Medicare Enrollment ID | O20071204000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215143250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Pauline K Wiener |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073680187 PECOS PAC ID: 2961591680 Enrollment ID: I20071204000213 |
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