Search › Illinois › 207RG0300X
John Wiley, M.D
NPI 1487612834 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5300 W Diversey Ave
Chicago, IL 60639 - Phone
- (773) 725-0990
- Organisation at this address
- Diversey Dental Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RG0300X
207RG0300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-30
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