Provider Demographics
NPI:1770610248
Name:WIESKA, STEVEN EDWARD (M,S)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:EDWARD
Last Name:WIESKA
Suffix:
Gender:M
Credentials:M,S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 E WOODFIELD RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5423
Mailing Address - Country:US
Mailing Address - Phone:847-882-5888
Mailing Address - Fax:847-882-5951
Practice Address - Street 1:1375 E WOODFIELD RD STE 120
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5423
Practice Address - Country:US
Practice Address - Phone:847-882-5888
Practice Address - Fax:847-882-5951
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-001148231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist