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GREGORY A WIENER MD SC NPI 1154519023


NPI Information

NPI: 1154519023
Provider Name: GREGORY A WIENER MD SC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
7447 W TALCOTT AVE
SUITE 451
CHICAGO, IL
ZIP 60631
Phone: (773) 763-3990
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GREGORY A WIENER MD SC is a plastic surgery in Chicago, IL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. GREGORY A WIENER MD SC NPI is 1154519023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7447 W TALCOTT AVE
SUITE 451
CHICAGO, IL
ZIP 60631-745
Phone: (773) 763-3990
Fax: (773) 763-6346

The provider's authorized official is Gregory Alan Wiener .
The authorized official title is Owner and has the following contact phone number (773) 736-3990.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1554320MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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