Wisdom, Robert Anthony
Wisdom, Robert Anthony is an individual health care provider with primary practice located at 4444 S Prairie Ave , Chicago IL 60653-3208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Wisdom, Robert Anthony can be contacted via phone (917) 362-6997.Contact Information
Primary practice address
4444 S Prairie Ave
Chicago IL 60653-3208
Phone: (917) 362-6997
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 350263 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 209014169 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 942926-6 | Florida |
Profile Details
| NPI number | 1487767117 |
|---|---|
| LBN Legal business name | Wisdom, Robert Anthony |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Apr 8th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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