MR. ROBERT ANTHONY WISDOM CRNP
NPI 1487767117
Nurse Practitioner - Neonatal in Chicago, IL

Active since August 16, 2006
4444 S PRAIRIE AVE, CHICAGO, IL 60653(917) 362-6997 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Robert Anthony Wisdom Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT ANTHONY WISDOM CRNP (NPI 1487767117) is an individual neonatal provider in Chicago, Illinois, licensed in Illinois (209014169) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487767117
Entity TypeIndividualMale
Primary Taxonomy363LN0000X
Provider Legal NameMR. ROBERT ANTHONY WISDOMCredential: CRNP
Location Address4444 S PRAIRIE AVEChicago, IL 60653-3208
Mailing Address4444 S Prairie AveChicago, IL 60653-3208 · (917) 362-6997
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateApril 8, 2016
NPI 1487767117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses Licensed in IL · 209014169 Licensed in NY · 350263 Licensed in FL · 942926-6
4444 S PRAIRIE AVE, Chicago, IL 60653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wisdom's NPI number?

The NPI number for Robert Wisdom is 1487767117. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Robert Wisdom located?

Robert Wisdom practices at 4444 S Prairie Ave, Chicago, IL 60653. The listed phone number is (917) 362-6997.

What is Robert Wisdom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Robert Wisdom was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.