Individual
DR. CARL M WAHLSTROM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 N MICHIGAN AVE, SUITE 1008, CHICAGO, IL 60601-5311
(312) 782-7895
(312) 782-7897
Mailing address
307 N MICHIGAN AVE, SUITE 1008, CHICAGO, IL 60601-5311
(312) 782-7895
(312) 782-7897
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
01/02/2007
Last updated
07/09/2007
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