Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982352597 Individual Practitioner Female Practitioner

Larissa Wietlisbach

Plastic Surgery • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Larissa Wietlisbach is a registered healthcare professional specializing in Plastic Surgery in Chicago, IL. Practice services are available at 5841 S MARYLAND AVE # MC6035 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5841 S Maryland Ave # Mc6035

Chicago, IL 606371443

Telephone 7737026302
Associated Practice Facility / Clinic
🏢 University Of Chicago Facility NPI 1497907786

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
94 Specialists

Practicing in Chicago, IL (236 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-01
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IL 125082534

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Dr. Lyndsay Kandi , MD

Plastic Surgery

NPI 1063103943

Doctor of Medicine (M.D.)

Dr. Sarah Layon , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1124822747

Doctor of Medicine (M.D.)

Dr. Leah Gudex , MD

Plastic Surgery

NPI 1134928047

Doctor of Medicine (M.D.)

Daisy Ruiz

Nurse Practitioner - Family

NPI 1194692962
Gaia Santiago

Plastic Surgery

NPI 1295483485
Sabrina Han

Surgery - Plastic and Reconstructive Surgery

NPI 1295589000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2023

Plastic Surgery (License #125082534 in IL)

📍
Updated Practice Location May 02, 2023

Registered at 5841 S MARYLAND AVE # MC6035, CHICAGO, IL 606371443 (Tel: 7737026302)

📍
Updated Business Mailing Address May 02, 2023

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: 7737021150)

NPI Profile Active March 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2022

Registered at 3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 191045127 (Tel: 6109528192)

📍
Updated Business Mailing Address March 13, 2022

Registered at 3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 191045127

👤
Provider Name / Credentials Updated March 13, 2022

Recorded as LARISSA WIETLISBACH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982352597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2022
Last Update: August 01, 2023
Sole Proprietor: No

Mailing Address

180 Harvester Dr Ste 110

Burr Ridge, IL 605276686

Phone: 7737021150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.