Individual
JAELYN WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 E LAKE ST, ADDISON, IL 60101-2889
(630) 835-1430
Mailing address
4157 N CLARENDON AVE APT 908, CHICAGO, IL 60613-5206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114465
IL
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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