Individual
ROBERT A WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1401 LAKEWOOD DR, SUITE A, MORRIS, IL 60450-3352
(815) 942-6323
(815) 942-6423
Mailing address
1401 LAKEWOOD DR, SUITE A, MORRIS, IL 60450-3352
(815) 942-6323
(815) 942-6423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071001790
IL
Other
Enumeration date
06/10/2006
Last updated
12/20/2010
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