Search › Illinois › 2255A2300X
Brian Wismer, ATC, KT
NPI 1598896011 · on the registry since 2007 · sole proprietor
Practice
- Address
- 770 Castlewood Ln
Deerfield, IL 60015 - Phone
- (847) 236-9499
- Fax
- (847) 236-1107
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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