Individual
BLAIR WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9297
(630) 919-3888
Mailing address
738 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
033588
NY
235Z00000X
Speech-Language Pathologist
Primary
146017783
IL
Other
Enumeration date
09/18/2023
Last updated
01/28/2025
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