Individual
ERICA WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
215 RICHMOND ST, EVANSTON, IL 60202-3639
(847) 899-5401
Mailing address
607 BARBERRY LN, WHEELING, IL 60090-5303
(224) 433-3598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027032
IL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2015
Last updated
08/28/2024
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