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

Dr. Michael Wiisanen, MD

Individual provider Anesthesiology Physician · NPI 1215190525

Dr. Michael Wiisanen, MD is an Anesthesiology in Maywood, Illinois. Graduated from University of North Dakota School of Medicine in 2006, 20 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Trained at
University of North Dakota School of Medicine
Licensed in
IL
In the registry since
2008
Specialties on file
2
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

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12251 S 80th Ave, Palos Heights, IL 60463-1290 — (708) 923-3936

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 125053372 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 036122167 (IL)

Record details

NPI number1215190525
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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