Dr. Mary S Wenzel
Internist - Addiction Medicine
3730 N Lake Shore Dr
Chicago
, Illinois 60613-4236
Dr. Mary S Wenzel
Internist - Addiction Medicine
3730 N Lake Shore Dr
Chicago
, Illinois 60613-4236
(847) 869-1808
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Mary S Wenzel
- 1029 Howard St
- Evanston, IL
- Zip : 60202-3877
- Phone : (847) 869-1808
Second Address
- Dr. Mary S Wenzel
- 3730 N Lake Shore Dr
- Chicago, IL
- Zip : 60613-4236
- Phone : (847) 869-1808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 36-57218 | IL |
National Provider Identifier
| NPI | 1184934036 |
|---|---|
| Provider Name | Dr. Mary S Wenzel |
| First Address | Evanston, IL 60202-3877 |
| Second Address | Chicago, IL 60613-4236 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2010 |
| Last Update Date | 27/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.