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

Noah David Wasserman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063049146

Noah David Wasserman is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

251 E Huron St
Chicago, IL 60611-2908
Phone: (312) 926-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125075718 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063049146
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address251 E Huron St, Chicago, IL 60611-3055

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