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Austin Wylie
NPI 1740094416 · on the registry since 2025
Practice
- Address
- 2339 N California Ave Unit 47949
Chicago, IL 60647 - Phone
- (417) 299-1462
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-04
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