Wiener, Marc L

Wiener, Marc L is an individual health care provider with primary practice located at 27W170 Saint Charles Rd , Carol Stream IL 60188-1935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wiener, Marc L can be contacted via phone (630) 562-9100.

Contact Information

Primary practice address
27W170 Saint Charles Rd Carol Stream IL 60188-1935
Phone: (630) 562-9100
Fax: (630) 562-9172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036076864 Illinois

Profile Details

NPI number 1861435927
LBN Legal business name Wiener, Marc L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 19th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861435927 NPPES
Illinois Other 002220114 BCBS NUMBER
Illinois MEDICAID 056076864 BCBS NUMBER

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