Individual
TRISHA ANNE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2130 GREEN BAY RD # 2, EVANSTON, IL 60201-3026
(847) 425-9708
Mailing address
2130 GREEN BAY RD # 2, EVANSTON, IL 60201-3026
(847) 425-9708
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
16573
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473047364
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/04/2022
Last updated
01/04/2022
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