Provider Demographics
NPI:1114053980
Name:STERNBERG, WENDY L (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:L
Last Name:STERNBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 W MADISON ST
Mailing Address - Street 2:SUITE 3825
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4510
Mailing Address - Country:US
Mailing Address - Phone:312-219-2230
Mailing Address - Fax:312-219-2239
Practice Address - Street 1:181 W MADISON ST
Practice Address - Street 2:SUITE 3825
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4510
Practice Address - Country:US
Practice Address - Phone:312-219-2230
Practice Address - Fax:312-219-2239
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036088450207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01623192OtherBLUE CROSS BLUE SHIELD
IL01623192OtherBLUE CROSS BLUE SHIELD
IL532990Medicare PIN