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

Dr. Gary G Wiesman, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1821191404

Dr. Gary G Wiesman, MD is an Otolaryngology in Chicago, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1968, 58 years ago. Practices with Humboldt Park Health, a 105-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
58
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2006
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

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 number1821191404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 7, 2006
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1968 (58 years in practice)
Group practice Humboldt Park Health — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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