MR. ROBERT ANTHONY WISDOM CRNP NPI 1487767117

NPI Information

NPI: 1487767117
Provider Name: MR. ROBERT ANTHONY WISDOM, CRNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
4444 S PRAIRIE AVE
CHICAGO, IL
ZIP 60653
Phone: (917) 362-6997
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MR. Robert Anthony Wisdom, CRNP is a neonatal nurse practitioner in Chicago, IL. MR. Robert Anthony Wisdom, CRNP NPI is 1487767117. 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:

4444 S PRAIRIE AVE
CHICAGO, IL
ZIP 60653-208
Phone: (917) 362-6997

The enumeration date for this NPI number is 8/16/2006 and was last updated on 4/8/2016.

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
1	363LN0000X	Nurse Practitioner	Neonatal	350263	NEW YORK	No
2	363LN0000X	Nurse Practitioner	Neonatal	942926-6	FLORIDA	No
3	363LN0000X	Nurse Practitioner	Neonatal	209014169	ILLINOIS	Yes

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

NPI Synchronization or Removal

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