Individual
LAUREN N WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8745 W HIGGINS RD, CHICAGO, IL 60631-2704
(708) 255-6414
Mailing address
8745 W HIGGINS RD STE 110, CHICAGO, IL 60631-2753
(708) 255-6414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/06/2026
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