Wiener, Pauline K

Wiener, Pauline K is an individual health care provider with primary practice located at 27W170 Saint Charles Rd , Carol Stream IL 60188-1935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as her primary health care specialty. Wiener, Pauline K can be contacted via phone (630) 231-9400.

Contact Information

Primary practice address
27W170 Saint Charles Rd Carol Stream IL 60188-1935
Fax: (630) 231-2736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 036088334 Illinois

Profile Details

NPI number 1073680187
LBN Legal business name Wiener, Pauline K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 11th, 2012 - about 12 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 1073680187 NPPES
Illinois Other 260027994 RAILROAD MEDICARE
Illinois MEDICAID 036088334 RAILROAD MEDICARE

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