Individual
ANTHONY ALEXANDER WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
201 W SPRINGFIELD AVE STE 1201, CHAMPAIGN, IL 61820-6385
(217) 722-9079
(217) 501-4322
Mailing address
201 W SPRINGFIELD AVE STE 1201, CHAMPAIGN, IL 61820-6385
(217) 722-9079
(217) 501-4322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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