Wielenberg, Aaron J
Wielenberg, Aaron J is an sole proprietor health care provider with primary practice located at 3249 Oak Park Ave , Berwyn IL 60402-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wielenberg, Aaron J can be contacted via phone (708) 783-2696.Contact Information
Primary practice address
3249 Oak Park Ave
Berwyn IL 60402-3429
Phone: (708) 783-2696
Fax: (708) 783-3164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-111164 | Illinois |
Profile Details
| NPI number | 1730203969 |
|---|---|
| LBN Legal business name | Wielenberg, Aaron J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Dec 29th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730203969 | NPPES |
| Illinois | MEDICAID | 036-111169 |
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