Individual
LAUREN N WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 LINCOLN MALL DR STE 600, MATTESON, IL 60443-3817
(773) 234-7775
Mailing address
4747 LINCOLN MALL DR STE 600, MATTESON, IL 60443-3817
(774) 234-7775
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
05/02/2026
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