MICHAEL E WISE (NPI# 1295230308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295230308 |
| Entity Type | Individual |
| Full Name | MICHAEL E WISE |
| Credential | RPH |
| Practice Address |
9650 W 131st St Palos Park IL 60464-1640 |
| Mailing Address |
12251 S 80th Ave Palos Heights IL 60463-1256 |
| Practice Telephone | 7083618094 |
| Mailing Telephone | 7089234122 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.030136 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427009596 | Michael Alan Wise | Occupational Therapist | 495 S Nova Rd, Ormond Beach, FL 32174-8470 | 2006-05-13 |
| 1215929591 | Michael Thomas Wise | Chiropractor | 707 Sw 9th St, Redmond, OR 97756-2726 | 2005-08-22 |
| 1942864798 | Michael Wise | Counselor | 1150 S Semoran Blvd Ste A, Orlando, FL 32807-1424 | 2019-04-26 |
| 1871078816 | Michael Wise Jr. | Counselor | 1612 W North Ave, Baltimore, MD 21217-1736 | 2018-09-26 |
| 1932486016 | Michael Bruce Wise | Counselor | 2712 Mission St, Mission Act, San Francisco, CA 94110 | 2011-11-03 |
| 1922267210 | Michael Wise | Counselor | 114 W Elliott St, Saint Ignace, MI 49781-1868 | 2008-06-03 |
| Street Address |
9650 W 131ST ST |
| City | PALOS PARK |
| State | IL |
| Zip Code | 60464-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235179417 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 9650 W 131st St, Palos Park, IL 60464 | 2006-06-07 |
| 1245688357 | Mary Mccarthy | Pharmacist | 9650 W 131st St, Palos Park, IL 60464-1640 | 2016-05-31 |
| 1700232329 | Jennifer Colclasure | Pharmacist | 9650 W 131st St, Palos Park, IL 60464-1640 | 2016-05-12 |
| 1124230651 | Michael William Zidek | Pharmacist | 9650 W 131st St, Palos Park, IL 60464-1640 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
| 1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
| 1730233297 | Rajitha Lakshmi Avva | Psychiatry & Neurology | Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 | 2007-01-22 |
| 1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
| 1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
| 1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
| 1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
| 1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
| Find all providers in zip 60464 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982051108 | Janice Gaynor | Pharmacist | 9652 W 131st St, Palos Park, IL 60464-1640 | 2016-05-17 |
| 1073882775 | Mayuri Patel | Pharmacist | 11199 W 123rd St, Palos Park, IL 60464-1554 | 2011-12-26 |
| 1285231779 | Mariyan Kosev Stoykov | Pharmacist | 13023 S La Grange Rd, Palos Park, IL 60464-1718 | 2020-10-07 |
| 1245688357 | Mary Mccarthy | Pharmacist | 9650 W 131st St, Palos Park, IL 60464-1640 | 2016-05-31 |
| 1700232329 | Jennifer Colclasure | Pharmacist | 9650 W 131st St, Palos Park, IL 60464-1640 | 2016-05-12 |
| 1740561950 | Deborah Marie Stukus | Pharmacist | 13023 S La Grange Rd, Palos Park, IL 60464-1718 | 2011-08-31 |
| 1124230651 | Michael William Zidek | Pharmacist | 9650 W 131st St, Palos Park, IL 60464-1640 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PALOS PARK |
| Zip Code | 60464 |
Please comment or provide details below to improve the information on MICHAEL E 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.