Elisabeth A Wise
Elisabeth A Wise is a Physician Assistant in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 7
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085007184 (IL) |
|---|
Record details
| NPI number | 1336794510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 5, 2019 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | August 31, 2021 |
| Mailing address | 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | University Of Chicago — 1681 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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