SearchIllinois101YP2500X

Theodore Wilder, LCPC

NPI 1851911127 · on the registry since 2020 · sole proprietor

Practice

Address
3505 Greenmeadow Ln
Joliet, IL 60431
Phone
(815) 786-5853
Organisation at this address
Wilder Theory Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-06

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