Active NPI
Gregory a Wiener MD SC
- Plastic Surgery Physician
- Chicago, IL
National Provider Identifier
1154519023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- GREGORY A WIENER MD SC
- Practice address
- 7447 W Talcott Ave
Suite 451
Chicago, IL 60631-3745 - Phone
- (773) 763-3990
- Fax
- (773) 763-6346
- NPI assigned
- Oct 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Alan Wiener, MD
- Title
- Owner
- Phone
- (773) 736-3990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave
Suite 451
Chicago, IL 60631-3745
Mailing address
7447 W Talcott Ave
Suite 451
Chicago, IL 60631-3745
Phone (773) 763-3990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7447 W Talcott Ave
Ste 451
Chicago, IL 60631
Phone (773) 763-3990
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Chicago, IL
- NPI 1609969765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1154519023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE 451",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-3990",
"fax_number": "773-763-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE 451",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-3990",
"fax_number": "773-763-6346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY A WIENER MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "WIENER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-736-3990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.