SearchIllinois101YM0800X

Amy Wildman, LCSW

NPI 1982003851 · on the registry since 2014 · sole proprietor

Practice

Address
111 E Main St
St Charles, IL 60174
Phone
(630) 587-3777
Clinicians at this address
19

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-17

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