Search › Illinois › 1041C0700X
Gerald Wyman, MSW
NPI 1720352198 · on the registry since 2012
Practice
- Address
- 3010 Grand Ave
Waukegan, IL 60085 - Phone
- (847) 377-8296
- Fax
- (847) 984-5689
- Organisation at this address
- Cabs
County Of Lake
County Of Lake
County Of Lake
County Of LakeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 345
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-02
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