Individual
ANNE H. WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4327 N BELL AVE, CHICAGO, IL 60618-1609
(773) 866-2818
Mailing address
4327 N BELL AVE, CHICAGO, IL 60618-1609
(773) 866-2818
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
71007245
IL
103TC0700X
Clinical Psychologist
71007245
IL
103TH0004X
Health Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
04/06/2007
Last updated
04/08/2015
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