Individual provider Active NPI

Courtney L Wiseman, MD, MPH

  • Psychiatry Physician
  • Lisle, IL
National Provider Identifier
1154496552
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.110547 Issued in IL
Practice address
4300 Commerce CT
Suite 250
Lisle, IL 60532-3709
Phone
(630) 305-8545
Fax
(630) 305-8549
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.110547 IL Primary

Addresses

Primary practice location

4300 Commerce CT
Suite 250
Lisle, IL 60532-3709

Mailing address

4300 Commerce CT
Suite 250
Lisle, IL 60532-3709
Phone (630) 305-8545

Other practice location 1

900 E Diehl Rd Ste 101
Naperville, IL 60563-2394
Phone (888) 428-7890

Other practice location 2

2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone (888) 428-7890

Other names 1

  • Courtney Lee Nemeth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 20, 2017 through Mar 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.110547ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. CurrentSince Jul 27, 2023 Accepting new patients
Edgewood Clinical Services, P.C. Current Accepting new patients
C. Wiseman, MD MPH, Inc. Past Accepting new patients

Locations

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

900 E Diehl Rd
Ste 101
Naperville, IL 60563
Phone (630) 328-0134

1288 Rickert Dr
Ste 300
Naperville, IL 60540
Phone (630) 416-6056

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.courtneywiseman@146897.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1154496552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT",
            "address_2": "SUITE 250",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323709",
            "telephone_number": "630-305-8545",
            "fax_number": "630-305-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT",
            "address_2": "SUITE 250",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323709",
            "telephone_number": "630-305-8545",
            "fax_number": "630-305-8549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Diehl Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605632394",
            "country_code": "US",
            "telephone_number": "888-428-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2948 Artesian Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648559",
            "country_code": "US",
            "telephone_number": "888-428-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.110547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "NEMETH",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.