Avia Wideman

NPI 1558227488 · on the registry since 2026

Practice

Address: 850 Brook Forest Ave
Shorewood, IL 60404
Phone: (779) 235-4639
Organisation at this address: M W Hanley Dc Llc
Michael W Hanley Dc Co
Action Therapy Services, Ltd.
Shorewood Elite Healthcare Sc
Action Physical Medicine & Rehabilitation, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-19

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