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

Irvin Wiesman, MD SC

Organization Plastic and Reconstructive Surgery Physician · NPI 1366676645

Irvin Wiesman, MD SC is a Plastic and Reconstructive Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

712 N Dearborn St
Chicago, IL 60654-3818
Phone: (773) 275-5550
Fax: (312) 981-1292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 036095961 (IL)

Record details

NPI number1366676645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irvin Wiesman — President · (773) 275-5550
NPI enumeratedMay 14, 2009
Last updated in NPPESNovember 6, 2015
Mailing address712 N Dearborn St, Chicago, IL 60654-3818

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