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

Douglas Wiseman, MD

Individual provider Surgery Physician · NPI 1003137803

Douglas Wiseman, MD is a General Surgery in Chicago, Illinois. Graduated from Wayne State University School of Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7447 W Talcott Ave Ste 427
Chicago, IL 60631-3715
Phone: (773) 990-4024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036150881 (IL)

Record details

NPI number1003137803
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESOctober 28, 2019
Mailing address7447 W Talcott Ave Ste 427, Chicago, IL 60631-3715

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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