Individual
AUSTIN WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2339 N CALIFORNIA AVE UNIT 47949, CHICAGO, IL 60647-0360
(417) 299-1462
Mailing address
2339 N CALIFORNIA AVE UNIT 47949, CHICAGO, IL 60647-0360
(417) 299-1462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115735
IL
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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