Gregory A Wiener GREGORY A WIENER MD SC

Address: 5440 N Cumberland Ave, Suite 105, Chicago, IL 60656-4700
Phone: 7086366440

Gregory A Wiener (NPI# 1609969765, PAC ID# 8628258597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1609969765
PAC ID by PECOS 8628258597
Professional Enrollment ID I20110209000789
Full Name Gregory A Wiener
Organization Legal Name GREGORY A WIENER MD SC
Address 5440 N Cumberland Ave
Suite 105
Chicago
IL 60656-4700
Phone Number 7086366440
Gender M
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialties GENERAL SURGERY
Group Practice PAC ID 0941463178
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140117 PRESENCE RESURRECTION MEDICAL CENTER

Other Locations

Address Phone Organization
5440 N Cumberland Ave, Suite 105, Chicago, IL 60656-4700 7086366440 GREGORY A WIENER MD SC
5440 N Cumberland Ave, Chicago, IL 60656-4700 7086366440 GREGORY A WIENER MD SC

Organization Information

Organization Legal Name GREGORY A WIENER MD SC
Physicians 1

Office Location

Street Address 5440 N CUMBERLAND AVE
SUITE 105
City CHICAGO
State IL
Zip 60656-4700

Competitor

Search similar physicians

City CHICAGO
Zip Code 60656
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty CHICAGO + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.