William J Wise MD SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WILLIAM J WISE MD SC

Practice address

7729 Ogden Ave
Lyons, IL 60534

Phone

(708) 447-2238

Fax

(708) 447-2264

NPI assigned

Nov 21, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary B Wise, MDNPI 1558379495

Title

Co Owner of Corporation

Phone

(708) 352-3849

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Bernadette Wise, MD

  • General Practice Physician
  • Lyons, IL
  • NPI 1558379495
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164597597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUNSET AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252179",
            "telephone_number": "708-447-2238",
            "fax_number": "708-447-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7729 OGDEN AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "60534",
            "telephone_number": "708-447-2238",
            "fax_number": "708-447-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J WISE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO OWNER OF CORPORATION",
        "authorized_official_telephone_number": "708-352-3849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charu K. Vibhakar, D.D.S.
• Kamal M. Vibhakar, D.D.S
• Village of Lyons
• Walgreen Co (Walgreens #01450)
• Walgreen Co. (Walgreens #1450)
• Mary Bernadette Wise, MD

• General Practice Physician in Lyons, IL
• Providers in Lyons, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.