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

Wise Health Professional Corporation

Organization Psychiatry Physician · NPI 1417100157

Wise Health Professional Corporation is a Psychiatry Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

4755 N Kenmore Ave
Chicago, IL 60640-5015
Phone: (773) 989-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036091776 (IL)

Record details

NPI number1417100157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shephali Patel — Chief Operating Officer · (847) 322-9602
NPI enumeratedOctober 28, 2008
Last updated in NPPESNovember 12, 2009
Mailing address2600 Wynncrest Dr, Long Grove, IL 60047-5033

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