Provider Demographics
NPI:1457244931
Name:WESLEY NAHM MD OF ILLINOIS PC
Entity type:Organization
Organization Name:WESLEY NAHM MD OF ILLINOIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:331-282-2814
Mailing Address - Street 1:12 SALT CREEK LN STE 350
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8612
Mailing Address - Country:US
Mailing Address - Phone:331-282-2814
Mailing Address - Fax:
Practice Address - Street 1:12 SALT CREEK LN STE 350
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8612
Practice Address - Country:US
Practice Address - Phone:331-282-2814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service