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Kelly Wydra, L.C.P.C., C.A.D.C
NPI 1447794763 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4923 Main St
Downers Grove, IL 60515 - Phone
- (815) 651-1983
- Organisation at this address
- Amber Wilkins
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-05
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