Search › Illinois › 235Z00000X
Kelly Wise
NPI 1225436777 · on the registry since 2014
Practice
- Address
- 670 W Wayman St Apt 1905
Chicago, IL 60661 - Phone
- (352) 216-4820
- Organisation at this address
- Mary-Ann M. Mathias, M.D., S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-16
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