Individual
SAMANTHA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.G.C
Contact information
Practice address
202 S GREENLEAF ST, SUITE E, GURNEE, IL 60031-3399
(847) 336-6111
Mailing address
202 S GREENLEAF ST, SUITE E, GURNEE, IL 60031-3399
(847) 336-6111
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246000205
IL
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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