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

Stephen Wisegarver

Individual provider Physical Therapy Assistant · NPI 1174355515

Stephen Wisegarver is a Physical Therapy Assistant in Western Springs, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

4700 Gilbert Ave Ste 51
Western Springs, IL 60558-1664
Phone: (708) 387-1750
Fax: (708) 387-1751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160-010211 (IL)

Record details

NPI number1174355515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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