Individual
MAEGAN WILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S CAN DOTA AVE, MOUNT PROSPECT, IL 60056-3053
(847) 476-6261
Mailing address
106 S CAN DOTA AVE, MOUNT PROSPECT, IL 60056-3053
(847) 476-6261
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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