William J Wise MD SC
Organization Active NPI General Practice Physician · Lyons, IL
NPI 1164597597 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1164597597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Mary B Wise, MD
- Title
- Co Owner of Corporation
- Phone
- (708) 352-3849
National Provider Directory
Locations
7729 Ogden Ave
Lyons, IL 60534
Phone (708) 447-2238
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | |||
| General Practice Physician |
208D00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | IL |
Addresses
Primary practice location
7729 Ogden Ave
Lyons, IL 60534
Mailing address
320 Sunset Ave
La Grange, IL 60525-2179
Phone (708) 447-2238
Other providers in Lyons, IL
All providers in Lyons, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.