Individual
ELEXIS FRANCINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 W ROOSEVELT RD STE 103, WEST CHICAGO, IL 60185-4819
(888) 308-3728
Mailing address
245 W ROOSEVELT RD, WEST CHICAGO, IL 60185-3739
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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