Individual
JULIE MARIE WANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
240 W WASHINGTON ST, VILLA PARK, IL 60181-2827
(630) 267-8528
Mailing address
240 W WASHINGTON ST, VILLA PARK, IL 60181-2827
(630) 267-8528
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JW39130307P
IL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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