| Wilder Theory Pllc | |
|
3505 Greenmeadow Ln Joliet IL 60431-4807 | |
| (779) 707-0597 | |
| Not Available |
| Full Name | Wilder Theory Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3505 Greenmeadow Ln, Joliet, Illinois |
| Authorized Official Name and Position | Theodore Wilder (LCPC/DIRECTOR) |
| Authorized Official Contact | 7797070597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilder Theory Pllc 3505 Greenmeadow Ln Joliet IL 60431-4807 Ph: () - | Wilder Theory Pllc 3505 Greenmeadow Ln Joliet IL 60431-4807 Ph: (779) 707-0597 |
| NPI Number | 1144092289 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144092289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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