C. Wiseman, MD MPH, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

036110547 Issued in IL

Legal business name

C. WISEMAN, MD MPH, INC.

Practice address

445 Jackson Ave
Suite 103
Naperville, IL 60540-5256

Phone

(630) 305-8545

Fax

(630) 305-8549

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Nemeth Wiseman, MD, MPH

Title

President

Phone

(630) 305-8545

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tamara Stabrowski, RD, LDN, CEDRD

  • Registered Dietitian
  • Naperville, IL
  • NPI 1942668827
  NPD (past)
• Courtney L Wiseman, MD, MPH

  • Psychiatry Physician
  • Lisle, IL
  • NPI 1154496552
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1356771570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 JACKSON AVE",
            "address_2": "SUITE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405256",
            "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": "445 JACKSON AVE",
            "address_2": "SUITE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405256",
            "telephone_number": "630-305-8545",
            "fax_number": "630-305-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. WISEMAN, MD MPH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "NEMETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-305-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036110547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Byrnes, DPT
• Meredith Theresa Byrnes, OTR/L
• C & N Grathwol DMD P.C. (G&G Pediatric Dentistry and Orthodontics)
• C. P. Johnson, LCPC & Associates
• C. Tia Michaud, M.D., P.C.
• Abby Cabin, LDN
• Jean Marie Caddick, APN-CNP
• Catherine Lynn Cahill, RPH
• Matthew Cahill
• Sean Cahill, MD

• Adult Mental Health Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.