Roberta Ellen Wisun, DDS

General Practice Dentistry · Great Lakes, IL

Individual Active NPI

NPI number 1689651333

Practice location

3001 6TH St
Great Lakes, IL 60088-2833
Phone
(847) 688-2100

Open in Google Maps

NPI record

NPI
1689651333
Entity type
Individual (Type 1)
Enumeration date
December 23, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

1251 N Maidstone Dr
Vernon Hills, IL 60061-1087
Phone
(847) 362-4794

About Dr. Wisun

Roberta Ellen Wisun, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3001 6TH St, Great Lakes, IL 60088-2833. The NPI number 1689651333 was assigned on December 23, 2005 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Roberta Ellen Wisun, DDS?

The NPI number is 1689651333.

What is the phone number of Dr. Wisun?

The phone number listed for the practice location is (847) 688-2100.

Where is Dr. Wisun located?

3001 6TH St, Great Lakes, IL 60088-2833.

What is the taxonomy code for Dr. Wisun?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Great Lakes

All General Practice Dentistry providers in Great Lakes, IL →