Search › Illinois › 1223E0200X
Chad Wiersema, DDS
NPI 1427114115 · on the registry since 2006
Practice
- Address
- 18130 Halsted St
Homewood, IL 60430 - Phone
- (708) 799-2550
- Organisation at this address
- Endodontic & Periodontic Associates, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 122300000X
122300000X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-01
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