| Wingspan Therapy, Pllc | |
|
5117b Main St Ste 12 Downers Grove IL 60515-4602 | |
| (630) 320-6981 | |
| (312) 748-4245 |
| Full Name | Wingspan Therapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5117b Main St Ste 12, Downers Grove, Illinois |
| Authorized Official Name and Position | Meredith Entler (OWNER) |
| Authorized Official Contact | 6303206981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wingspan Therapy, Pllc 155 N Hudson St Westmont IL 60559-1625 Ph: (630) 320-6981 | Wingspan Therapy, Pllc 5117b Main St Ste 12 Downers Grove IL 60515-4602 Ph: (630) 320-6981 |
| NPI Number | 1457039596 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457039596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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