Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARISSA WIETLISBACH
ActiveLARISSA WIETLISBACH is a Plastic Surgery healthcare provider located in CHICAGO, Illinois. NPI 1982352597 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · CHICAGO, IL
Registration Details
- NPI Number
- 1982352597
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2022 (4.4459898683604 yrs)
- Last Updated
- Aug 1, 2023
- License
-
125082534 (IL)
Practice Information
- Address
-
5841 S MARYLAND AVE # MC6035CHICAGO, IL, 606371443Browse IL providers · Browse ZIP 60637
- Phone
- 7737026302
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| BRUCE S BAUER | — | 1366437287 |
| PRAVIN-KUMAR PATEL | MD | 1760478325 |
| STEVEN H DAYAN | M.D. | 1326034786 |
| DR. MICHAEL JAE LEE | M.D. | 1265429302 |
| DR. MITCHELL FRANK GRASSESCHI | MD | 1801863097 |
| RANDALL SCOTT YESSENOW | M.D. | 1144280785 |
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.