Search › Illinois › Plastic Surgery Physician
Larissa Wietlisbach
NPI 1982352597 · on the registry since 2022
Practice
- Address
- 5841 S Maryland Ave # Mc6035
Chicago, IL 60637 - Phone
- (773) 702-6302
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Plastic Surgery Physician
208200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-01
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