DR. ROBERT L WISE (NPI# 1215028329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215028329 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L WISE |
| Credential | D.C. |
| Practice Address |
329 Broadway St Mount Vernon IL 62864-5115 |
| Practice Telephone | 6182443370 |
| Practice Fax Number | 6182443395 |
| Mailing Telephone | 6182443370 |
| Mailing Fax Number | 6182443395 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 8421484 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609420371 | Robert Graham Wise Jr. | Counselor | 10417 Riverside Dr Apt C, Toluca Lake, CA 91602-2466 | 2019-07-30 |
| 1912391087 | Robert Wise | Hearing Instrument Specialist | 8416 Lockwood Ridge Rd, Sarasota, FL 34243-2903 | 2015-03-26 |
| 1184921538 | Robert Matthew Wise | Pharmacist | 4890 Cherokee St, Acworth, GA 30101-4902 | 2011-02-22 |
| 1518081488 | Robert Philip Wise | Preventive Medicine | 1612 Auburn Ave, Rockville, MD 20850-1144 | 2007-03-18 |
| 1558492637 | Robert Eugene Wise | Nurse Anesthetist, Certified Registered | 195 E Fiddlers Canyon Rd, Unit 14, Cedar City, UT 84720-8744 | 2007-03-08 |
| 1598802761 | Robert Boyd Wise | Chiropractor | 332 North Avenue, Garwood, NJ 07027 | 2007-01-30 |
| 1831126143 | Robert Lance Wise | Chiropractor | 9104 E 62nd St, Tulsa, OK 74133-6443 | 2006-06-26 |
| 1073037636 | Robert Arthur Wise | Psychiatry & Neurology | 122 S Michigan Ave Ste 1025, Chicago, IL 60603-6264 | 2017-07-26 |
| 1164851853 | Robert Wise | Pharmacist | 10725 Fort St, Omaha, NE 68134-1229 | 2013-11-04 |
| 1376857755 | Robert K Wise | Perfusionist | 500 University Dr, Hershey, PA 17033-2360 | 2010-07-28 |
| Street Address |
329 BROADWAY ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457302655 | Kristen Jacobs | Family Medicine | 329 Broadway St, Mount Vernon, IL 62864-5115 | 2006-05-12 |
| 1558558049 | Wise Health Solutions, Ltd. | Legal Medicine | 329 Broadway St, Mount Vernon, IL 62864-5115 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1861902207 | Sarah Lisa Kotlerman | Chiropractor | 13103 Sunday Ln, Mount Vernon, WA 98273-8025 | 2017-10-11 |
| 1043677487 | Devin Jo Daniels | Chiropractor | 14580 Wooster Rd, Mount Vernon, OH 43050-9774 | 2016-01-15 |
| 1407269251 | Scott Aaron Brown | Chiropractor | 1600 Roosevelt Avenue, Suite A, Mount Vernon, WA 98273 | 2014-06-10 |
| 1144589920 | Hansen Chiropractic | Chiropractor | 1825 Riverside Dr Suite A, Mount Vernon, WA 98273-5412 | 2012-05-14 |
| 1457665606 | Lance M Potter Pllc | Chiropractor | 1933 Farm Road 115, Ste B, Mount Vernon, TX 75457-7434 | 2010-07-29 |
| 1407189434 | Kent Mcmahon | Chiropractor | 1009 S 42nd St Ste 2b, 2, Mount Vernon, IL 62864-6218 | 2009-09-09 |
| 1780815142 | A & E Chiropractic, Pllc | Chiropractor | 70 School St, Mount Vernon, KY 40456-2948 | 2009-08-04 |
| 1699916692 | Randi James Grafft | Chiropractor | 216 2nd St Sw, Mount Vernon, IA 52314-1630 | 2009-03-20 |
| 1568631505 | Jake Overholt | Chiropractor | 11 Woodlake Trl Ste B, Mount Vernon, OH 43050-8113 | 2008-02-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on DR. ROBERT L WISE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.