Organization · Type 2 NPI
William J Wise MD SC
General Practice Physician · Lyons, IL
NPI number
1164597597
Active
Practice location
7729 Ogden Ave
Lyons, IL 60534
Fax (708) 447-2264
Mailing address
320 Sunset Ave
La Grange, IL 60525-2179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician | 207RN0300X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1164597597
William J Wise MD SC's National Provider Identifier is 1164597597, issued on Nov 21, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lyons, IL. The record was last updated on Sep 11, 2025.