Irvin Wiesman, MD SC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036095961 Issued in IL

Legal business name

IRVIN WIESMAN, MD SC

Practice address

712 N Dearborn St
Chicago, IL 60654-3818

Phone

(773) 275-5550

Fax

(312) 981-1292

NPI assigned

May 14, 2009

Last updated

Nov 6, 2015By 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. Irvin M Wiesman, MDNPI 1194897587

Title

President

Phone

(773) 275-5550

Specialties & licenses 1

Addresses

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.

• Irvin Michael Wiesman, MD

  • Plastic Surgery Physician
  • Chicago, IL
  • NPI 1194897587
  Authorized official Same address or phone

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1366676645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543818",
            "telephone_number": "773-275-5550",
            "fax_number": "312-981-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543818",
            "telephone_number": "773-275-5550",
            "fax_number": "312-981-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVIN WIESMAN, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "WIESMAN",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-275-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036095961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iron Mind Rehab and Performance LLC
• Sharon A Irons, M.D.
• Irowa & Associates PC
• Nyehla Sarahfina Aruba Irsheid, CD (DONA)
• Sireen Irsheid
• Samuel Irvine
• Sarah Irvine, LCSW
• Irving Park Dentistry, Inc.
• Irving Park Emergency Physicians LLC
• Irving Park Family Dentist

• Plastic and Reconstructive Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.