Sean Conor Wightman M.D.

NPI 1174802755 - Surgery - 208600000X

NPI Details
NPI 1174802755
Gender Male
Enumeration Date 08/12/2011
Last Updated 08/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5841 S MARYLAND AVE
CHICAGO IL, 60637-1447, US
Phone (773) 702-1000
Fax
Business Location
1464 S MICHIGAN AVE
UNIT #509
CHICAGO IL, 60605-3711, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 125058085
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According to our database, Dr. Sean Conor Wightman M.D. NPI is 1174802755, taxonomy code is 208600000X and license number is 125058085, license state is located at Illinois. Sean Conor Wightman M.D. physically located at 5841 S Maryland Ave, Chicago IL, 60637-1447. NPI Number Sean Conor Wightman M.D. has the Individual type.

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1174802755 NPI number is provided on an as is basis without warranty of any kind. 1174802755 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Conor Wightman M.D. are for informational purposes only.