Provider Demographics
NPI:1356558373
Name:A & M INTERNAL MEDICINE, LTD.
Entity type:Organization
Organization Name:A & M INTERNAL MEDICINE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:L
Authorized Official - Last Name:WIENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-562-9100
Mailing Address - Street 1:27W170 SAINT CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-1935
Mailing Address - Country:US
Mailing Address - Phone:630-562-9100
Mailing Address - Fax:630-388-0547
Practice Address - Street 1:27W170 SAINT CHARLES RD
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-1935
Practice Address - Country:US
Practice Address - Phone:630-562-9100
Practice Address - Fax:630-388-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty