SearchIllinoisFoot & Ankle Surgery Podiatrist

Tyler Wishau

NPI 1144649856 · on the registry since 2014

Practice

Address
2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864
Phone
(618) 899-3900
Organisation at this address
Good Samaritan Regional Health Center
Surgical Associates Of Mt Vernon, Ltd
Physicians Surgery Center At Good Samaritan, Llc
Sleep & Neurology Center Of Southern Illinois, Llc
Anesthesia Associates Of Southern Illinois Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Additional practice sites

  • 12303 Depaul Dr., Bridgeton, MO

Registry record

Primary taxonomy
Foot & Ankle Surgery Podiatrist
213ES0103X
Also registered as
Podiatrist
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois