Provider Demographics
NPI:1962653253
Name:WILNER, GARY NORMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:NORMAN
Last Name:WILNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:260 WHISTLER RD
Mailing Address - Street 2:1B
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5961
Mailing Address - Country:US
Mailing Address - Phone:847-432-0321
Mailing Address - Fax:847-432-7564
Practice Address - Street 1:260 WHISTLER RD
Practice Address - Street 2:1B
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-5961
Practice Address - Country:US
Practice Address - Phone:847-432-0321
Practice Address - Fax:847-432-7564
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-05
Last Update Date:2008-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-049324207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease