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MARY BERNADETTE WISE MD
NPI 1558379495
General Practice in Lyons, IL

Active since August 04, 2006
7929 OGDEN AVE, LYONS, IL 60534(708) 447-2238(708) 447-2264 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mary Bernadette Wise Md NPPES

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

MARY BERNADETTE WISE MD (NPI 1558379495) is an individual general practice provider in Lyons, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558379495
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARY BERNADETTE WISECredential: MD
Location Address7929 OGDEN AVELyons, IL 60534
Mailing Address320 Sunset AveLa Grange, IL 60525 · (708) 352-3849
Phone(708) 447-2238
Fax(708) 447-2264
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558379495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7929 OGDEN AVE, Lyons, IL 60534
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Other Identifiers 2

Medicare ID-Type UnspecifiedP05688
Medicare UPINC41438

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 Mary Wise's NPI number?

The NPI number for Mary Wise is 1558379495. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Mary Wise located?

Mary Wise practices at 7929 Ogden Ave, Lyons, IL 60534. The listed phone number is (708) 447-2238.

What is Mary Wise's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mary Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.