Search › Illinois › 2251X0800X
Mark Wildeboer, PT, DPT, OCS
NPI 1225387343 · on the registry since 2012
Practice
- Address
- 1401 S. California Blvd
Chicago, IL 60608 - Phone
- (773) 522-2010
- Organisation at this address
- Avant-Garde Medicne Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois