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MRS. BONNIE E. WISE M.D.
NPI 1871559120
Specialist in Chgo, IL

Active since April 25, 2006Opted out of Medicare · through May 11, 2027
900 N. KINGSBURY ST, SUITE 130N, CHGO, IL 60610(312) 775-1100(312) 775-1112 Get Directions Write a Review

NPPES record last updated: December 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Bonnie E. Wise M.d. NPPES

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

MRS. BONNIE E. WISE M.D. (NPI 1871559120) is an individual specialist in Chgo, Illinois, licensed in Illinois (036-095073) and active in the NPI registry since April 2006. She has opted out of Medicare through May 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871559120
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. BONNIE E. WISECredential: M.D.
Location Address900 N. KINGSBURY ST, SUITE 130NChgo, IL 60610
Mailing Address900 N. Kingsbury St, Suite 130nChgo, IL 60610 · (312) 775-1100 · Fax (312) 775-1112
Phone(312) 775-1100
Fax(312) 775-1112
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 5, 2008
✔ NPI 1871559120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036-095073
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
900 N. KINGSBURY ST, Chgo, IL 60610
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Other Identifiers 1

Medicare UPING55443IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Bonnie E. Wise M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 11, 2015 through May 11, 2027.

Opt-Out Effective DateMay 11, 2015
Opt-Out In Effect ThroughMay 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAYNA SALASCHE M.D.
Specialist
900 N. KINGSBURY ST, SUITE 130N
CHGO, IL 60610
Cook County (312) 775-1100
MRS. SEEMA VENKATACHALAM M.D.
Specialist
900 N. KINGSBURY ST, SUITE 130N
CHGO, IL 60610
Cook County (312) 775-1100
MRS. KIMBERLY MCMAHON M.D.
Specialist
900 N. KINGSBURY ST, SUITE 130N
CHGO, IL 60610
Cook County (312) 775-1100

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 Bonnie Wise's NPI number?

The NPI number for Bonnie Wise is 1871559120. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Bonnie Wise located?

Bonnie Wise practices at 900 N. Kingsbury St Suite 130N, Chgo, IL 60610. The listed phone number is (312) 775-1100.

What is Bonnie Wise's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bonnie Wise enrolled in Medicare?

No. Bonnie Wise has opted out of Medicare through May 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bonnie Wise was last updated on December 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.