Individual
PHILICIA LASHAUN WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 N ROCKWELL ST # 2F, CHICAGO, IL 60622-4553
(785) 760-4705
(844) 308-7900
Mailing address
10719 S CALUMET AVE APT 1S, CHICAGO, IL 60628-3649
(773) 507-7562
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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