Individual
CHELSEA LYNNEA WICHTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S CRESCENT ST STE B, GILMAN, IL 60938-1518
(815) 265-8889
Mailing address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.405529
IL
363L00000X
Nurse Practitioner
Primary
209018536
IL
Other
Enumeration date
09/07/2018
Last updated
02/04/2025
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