Douglas Wiseman

General Surgery

Chicago, IL 60657

Male - 12 Yrs Experience - English

Location

2800 N Sheridian Rd
Suite 606

Chicago, IL 60657

Phone number

(773) 525-8846

Summary

Douglas Wiseman is a General Surgery located at Chicago, IL 60657 and is affiliated with Amita Health Resurrection Medical Center Hospitals. He received his medical degree from Wayne State University School Of Medicine and has been in practice for more than 12 years.

Professional Identification

  1. NPI#: 1003137803
  2. PAC ID: 7214238583
  3. Clinician Enrollment ID: I20191107000941
  4. Gender: Male
  5. Enumeration: June 15 2010
  6. Last Updated: October 28 2019

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Wayne State University School Of Medicine
  3. Graduation year: 2010
  4. Taxonomy: 208600000X
  5. Specialty: General Surgery
  6. All specialties: General Surgery

Medical Practice

  1. Organization: Presence Healthcare Services
  2. Group PAC ID: 2860396769
  3. Number of Group Members: 350
  4. Medicare CCN: 140117
  5. Hospital affiliation: Amita Health Resurrection Medical Center

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 2800 N Sheridian Rd, Chicago IL 60657 (773) 525-8846
  2. 7435 W Talcott Ave, Chicago IL 60631 (773) 774-8000
  3. 7447 W Talcott Ave, Chicago IL 60631

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