Individual
MR. DEANTHONY WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11560 S KEDZIE AVE STE 200, MERRIONETTE PARK, IL 60803-4517
(773) 758-9941
Mailing address
11560 S KEDZIE AVE STE 200, MERRIONETTE PARK, IL 60803-4517
(773) 758-9941
(708) 371-0466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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