SearchIllinois1041C0700X

Lynn Wiley

NPI 1225736283 · on the registry since 2023

Practice

Address
205 W Park Ave Ste 103
Champaign, IL 61820
Phone
(855) 284-7483
Fax
(617) 807-0958
Clinicians at this address
5

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-20

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