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Organization
WILDER THEORY PLLC
Active
Organization
WILDER THEORY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE WILDER (LCPC/DIRECTOR)
(779) 707-0597
Entity
Organization
Contact information
Practice address
3505 GREENMEADOW LN, JOLIET, IL 60431-4807
(779) 707-0597
Mailing address
3505 GREENMEADOW LN, JOLIET, IL 60431-4807
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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