Dr Jennifer R Wiseman, MD is a
Student In An Organized Health Care Education/training Program physician based in Chicago, Illinois. Dr Jennifer R Wiseman is licensed to practice in * (Not Available) (license number ) and her current practice location is 5841 S Maryland Ave # Mc2030, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 702-6222.
NPI number for Dr Jennifer R Wiseman is 1255919627 and her current mailing address is 180 Harvester Dr Ste 110, Burr Ridge, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255919627.
Physician's Profile
| Full Name | Dr Jennifer R Wiseman |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5841 S Maryland Ave # Mc2030, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255919627
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Dr Jennifer R Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255919627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036.173088 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer R Wiseman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer R Wiseman, MD
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-6686
Ph: (773) 702-1150 | Dr Jennifer R Wiseman, MD
5841 S Maryland Ave # Mc2030,
Chicago, IL 60637-1443
Ph: (773) 702-6222 |
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