Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY BERNADETTE WISE, MD
ActiveGeneral Practice · LYONS, IL
Registration Details
- NPI Number
- 1558379495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2006 (19.752887247126 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
7929 OGDEN AVELYONS, IL, 60534Browse IL providers · Browse ZIP 60534
- Phone
- 7084472238
- Fax
- 7084472264
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.