SearchIllinois225200000X

Stephen Wisegarver

NPI 1174355515 · on the registry since 2024

Practice

Address
4700 Gilbert Ave Ste 51
Western Springs, IL 60558
Phone
(708) 387-1750
Fax
(708) 387-1751
Organisation at this address
Walgreena
Walgreen Co
Roundys Supermarkets Inc
1918 Winter Street Operating Co Llc
Hinsdale Orthopaedic Associates, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-15

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