JOHN ARTHUR WILEY M.D. NPI 1487612834

NPI Information

  • NPI: 1487612834
  • Provider Name: JOHN ARTHUR WILEY, M.D.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 14D0427012
  • Address: 5300 W DIVERSEY AVE
    CHICAGO, IL
    ZIP 60639
  • Phone: (773) 725-0990

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NPI Details

John Arthur Wiley, M.D. is a geriatric medicine internal medicine in Chicago, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. John Arthur Wiley, M.D. NPI is 1487612834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5300 W DIVERSEY AVE
CHICAGO, IL
ZIP 60639-513
Phone: (773) 725-0990

The NPI 1487612834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 14D0427012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/30/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine036-069176ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D16045MEDICARE UPINILLINOIS
20004531987OTHERILLINOISAETNA
30031601867OTHERILLINOISBLUE SHIELD
4752760MEDICARE PINILLINOIS
5036069176MEDICAIDILLINOIS

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: 11/21/2025

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