Individual
ROBERT WIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
118 E OHIO ST, MOMENCE, IL 60954-1741
(269) 689-8055
Mailing address
118 E OHIO ST, MOMENCE, IL 60954-1741
(269) 689-8055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.026886
IL
Other
Enumeration date
03/10/2023
Last updated
03/17/2024
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