Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Wiesman MD Ltd

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1215180757

Gary Wiesman MD Ltd is an Otolaryngology/Facial Plastic Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

712 N Dearborn St
Chicago, IL 60654-3846
Phone: (312) 796-5550
Fax: (312) 981-1292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 036042623 (IL)

Record details

NPI number1215180757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Wiesman — President · (312) 796-5550
NPI enumeratedOctober 28, 2008
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020
Mailing address712 N Dearborn St, Chicago, IL 60654-3846

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