Individual
DR. MATTHEW WILLIAM WADLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
53 W JACKSON BLVD, SUITE 602, CHICAGO, IL 60604
(773) 860-1931
Mailing address
4814 N DAMEN AVE, 406, CHICAGO, IL 60625-4191
(773) 860-1931
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071007634
IL
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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