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Contact Information

WILLIAM J WISE MD SC
7729 OGDEN AVE
LYONS, IL60534
 Phone: 708-447-2238
 Fax: 708-447-2264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM J WISE MD SC

NPI # 1164597597
LBN Legal business name WILLIAM J WISE MD SC
Authorized official MARY WISE - (CO OWNER OF CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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