Wiley, John Arthur

Wiley, John Arthur is an sole proprietor health care provider with primary practice located at 5300 W Diversey Ave , Chicago IL 60639-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Wiley, John Arthur can be contacted via phone (773) 725-0990.

Contact Information

Primary practice address
5300 W Diversey Ave Chicago IL 60639-1513
Phone: (773) 725-0990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036-069176 Illinois

Profile Details

NPI number 1487612834
LBN Legal business name Wiley, John Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jun 30th, 2008 - about 17 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 1487612834 NPPES
Illinois MEDICAID 036069176
Illinois Other 0031601867
Illinois Other 0004531987

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