Organization
DR. ALISSA WICKLUND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISSA WICKLUND PHD (PRESIDENT)
(708) 588-9940
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE STE 1801, CHICAGO, IL 60601-3984
(312) 345-0933
Mailing address
37 DREXEL AVE, LA GRANGE, IL 60525-5815
(708) 588-9940
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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